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Mr. David Tyler Green, MA,LAT,ATC
Specialist in Richmond, Kentucky
NPI 1346213071

David Tyler Green is a Specialist based in Richmond, KY. David Tyler Green practices in Richmond, KY and has the professional credentials of MA,LAT,ATC. The NPI Number for David Tyler Green is 1346213071 and holds a License No. AT024 (Kentucky).

The current practice location address for David Tyler Green is 521 Lancaster Ave. Moberly 203, Richmond, KY and can be reached out via phone at 859-622-2140 and via fax at 859-622-8857. You can also correspond with David Tyler Green through the mailing address at 146 GENERAL NELSON DR, RICHMOND, KY - 40475-8698 (mailing address contact number: 859-622-2140).

Location: 521 Lancaster Ave. Moberly 203, Richmond, KY, 40475-8698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346213071
Provider Name
David Tyler Green
Credential
MA,LAT,ATC
Provider Entity Type
Individual
Gender
Male
Address
521 Lancaster Ave. Moberly 203, Richmond, KY, 40475-8698
Phone Number
859-622-2140
Fax Number
859-622-8857
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
521 Lancaster Ave. Moberly 203
City
Richmond
State
Kentucky
Zip
40475
Phone Number
859-622-2140
Fax Number
859-622-8857
person
Provider Business Mailing Address Details
Address
521 Lancaster Ave. Moberly 203
City
Richmond
State
Kentucky
Zip
40475
Phone Number
859-622-2140
Fax Number
859-622-8857
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AT024 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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