Individual
MR. DAVID TYLER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LAT, ATC
Contact information
Practice address
521 LANCASTER AVE. MOBERLY 203, EASTERN KENTUCKY UNIVERSITY, RICHMOND, KY 40475
(859) 622-2140
(859) 622-8857
Mailing address
146 GENERAL NELSON DR, RICHMOND, KY 40475-8698
(859) 622-2140
(859) 622-8857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT024
KY
Other
Enumeration date
02/13/2006
Last updated
08/08/2014
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