Jonathan Carson Green, LAT, ATC

NPI #1235601055 in Danville, Indiana

Provider Information

NPI Number
1235601055
Entity Type
Individual
Name
Jonathan Carson Green, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Dec 18, 2018
Last Updated
Dec 18, 2018

Practice Location

Address
1000 E MAIN ST
State
Indiana
ZIP Code
46122-1948
Phone
(317) 745-4451

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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