Kenneth Walter Green, LMT, OM
NPI #1366964462 in Georgetown, Texas
Provider Information
- NPI Number
- 1366964462
- Entity Type
- Individual
- Name
- Kenneth Walter Green, LMT, OM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT, OM
- Enumeration Date
- Jul 10, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 307 ROCKMOOR DR
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-8983
- Phone
- (512) 609-9188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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