Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH WALTER GREEN, LMT, OM
Active Sole ProprietorKENNETH WALTER GREEN, LMT, OM is a Massage Therapist healthcare provider located in GEORGETOWN, Texas. NPI 1366964462 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · GEORGETOWN, TX
Registration Details
- NPI Number
- 1366964462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2017 (9.0822976472852 yrs)
- Last Updated
- Jul 21, 2022
- License
-
MT122578 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
307 ROCKMOOR DRGEORGETOWN, TX, 786288983Browse TX providers · Browse ZIP 78628
- Phone
- 5126099188
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in GEORGETOWN, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELE ROMAGUS | L.M.T. | 1629272067 |
| CARMEN MARIE OLIVAS | — | 1689801755 |
| DR. HEATHER KARINA LOYO | PH.D., MBA, RMT | 1912274648 |
| STEPHANIE M SMITH | LMT | 1013408079 |
| TESA WILDER | — | 1407443922 |
| STEPHANY ANN PORTER | — | 1568194215 |
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.