Individual
ANASTASIA N GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT,ATC
Contact information
Practice address
2404 FILLMORE ST, WICHITA FALLS, TX 76309-5323
(940) 704-5850
Mailing address
2404 FILLMORE ST, WICHITA FALLS, TX 76309-5323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9701
TX
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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