Individual provider · Type 1 NPI

Kenneth Walter Green, LMT, OM

Massage Therapist · Georgetown, TX

NPI number 1366964462 Active

Practice location

307 Rockmoor Dr
Georgetown, TX 78628-8983

Call (512) 609-9188 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT122578 (TX)

Massage Therapist: 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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About NPI 1366964462

Kenneth Walter Green, LMT, OM's National Provider Identifier is 1366964462, issued on Jul 10, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Georgetown, TX. The record was last updated on Jul 21, 2022.