Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID TYLER GREEN, MA, LAT, ATC
Active Sole ProprietorSpecialist · RICHMOND, KY
Registration Details
- NPI Number
- 1346213071
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2006 (20.208997093696 yrs)
- Last Updated
- Aug 8, 2014
- License
-
AT024 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
521 LANCASTER AVE. MOBERLY 203EASTERN KENTUCKY UNIVERSITYRICHMOND, KY, 40475Browse KY providers · Browse ZIP 40475
- Phone
- 8596222140
- Fax
- 8596228857
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in RICHMOND, KY
| Name | Credential | NPI |
|---|---|---|
| MRS. ROENA FAYE GABBARD | OTR/L | 1457456501 |
| DENIECE STIVERS | OTR/L | 1295935633 |
| MS. AMY LOUISE REEVES | — | 1649448754 |
| ANNA ELIZABETH HEINS | — | 1518136472 |
| MRS. KRISTI WININGER LUNCEFORD | — | 1710271937 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.