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Kenneth Walter Green, LMT,OM
Massage Therapist in Georgetown, Texas
NPI 1366964462

Kenneth Walter Green is a Massage Therapist based in Georgetown, TX. Kenneth Walter Green practices in Georgetown, TX and has the professional credentials of LMT,OM. The NPI Number for Kenneth Walter Green is 1366964462 and holds a License No. MT122578 (Texas).

The current practice location address for Kenneth Walter Green is 307 Rockmoor Dr, Georgetown, TX and can be reached out via phone at 512-609-9188. You can also correspond with Kenneth Walter Green through the mailing address at 307 ROCKMOOR DR, GEORGETOWN, TX - 78628-8983 (mailing address contact number: 512-609-9188).

Location: 307 Rockmoor Dr, Georgetown, TX, 78628-8983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366964462
Provider Name
Kenneth Walter Green
Credential
LMT,OM
Provider Entity Type
Individual
Gender
Male
Address
307 Rockmoor Dr, Georgetown, TX, 78628-8983
Phone Number
512-609-9188
Fax Number
Provider Enumeration Date
07/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
307 Rockmoor Dr
City
Georgetown
State
Texas
Zip
78628-8983
Phone Number
512-609-9188
Fax Number
person
Provider Business Mailing Address Details
Address
307 Rockmoor Dr
City
Georgetown
State
Texas
Zip
78628-8983
Phone Number
512-609-9188
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT122578 (Texas)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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