Individual
RYAN THOMAS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1633 COTTONWOOD ST, ABILENE, TX 79601-3033
(325) 672-4372
Mailing address
1633 COTTONWOOD ST, ABILENE, TX 79601-3033
(325) 672-4372
(325) 673-0856
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5569
TX
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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