Individual
MS. SHELLI LEE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1501 STATE ST, MARSHALL, MN 56258-3306
(507) 537-6297
(507) 537-6578
Mailing address
1501 STATE ST, MARSHALL, MN 56258-3306
(507) 537-6297
(507) 537-6578
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2021
MN
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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