Andrea Lee Johnston Green, ATC

NPI #1689172876 in Buda, Texas

Provider Information

NPI Number
1689172876
Entity Type
Individual
Name
Andrea Lee Johnston Green, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jan 23, 2018
Last Updated
Jan 23, 2018

Practice Location

Address
16208 REMUDA TRL
City
Buda
State
Texas
ZIP Code
78610-9349
Phone
(512) 619-3139

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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