MRS. Tiffany Louise Green, ATC
NPI #1558635219 in Charleston, Illinois
Provider Information
- NPI Number
- 1558635219
- Entity Type
- Individual
- Name
- MRS. Tiffany Louise Green, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 28, 2012
- Last Updated
- Feb 28, 2012
Practice Location
- Address
- 1501 WOODLAWN DR
- Address 2
- APT. #1
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-4262
- Phone
- (906) 290-2429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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