Individual
CHRISTOPHER SCOTT GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
1480 8TH ST, WEST PLAINS, MO 65775-2010
(417) 256-5669
Mailing address
5068 COUNTY ROAD 9220, WEST PLAINS, MO 65775-5662
(417) 255-1981
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
118541
MO
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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