Individual
MINDY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
930 NE DUNCAN RD, BLUE SPRINGS, MO 64014-2173
(816) 229-6677
Mailing address
16208 E 32ND ST S, INDEPENDENCE, MO 64055-2733
(573) 480-5320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2105038432
MO
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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