Individual
MICHAEL THOMAS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1651 51ST ST, SACRAMENTO, CA 95819-4503
(626) 644-2048
Mailing address
1651 51ST ST, SACRAMENTO, CA 95819-4503
(626) 644-2048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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