Individual
MRS. MINDY LEIGH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2607 MAIN STREET, BENTON, KY 42025
(270) 527-0147
Mailing address
2607 MAIN STREET, BENTON, KY 42025
(270) 527-0147
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02142
KY
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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