Individual
ADRIEL R. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
Mailing address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002735
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710560
BLUE CROSS BLUE SHIELD
WV
01
—
002097180
BLUE CROSS BLUE SHIELD
WV
01
—
1516805
UMWA
WV
01
—
371681200
FEDERAL WORKERS COMP
—
05
—
3810014501
—
WV
01
—
9241425
AETNA
WV
01
—
P00813687
RR MEDICARE
WV
Enumeration date
01/13/2009
Last updated
05/27/2020
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