| Kenneth Walter Green, LMT, OM | |
|
307 Rockmoor Dr, Georgetown, TX 78628-8983 | |
| (512) 609-9188 | |
| Not Available |
| Full Name | Kenneth Walter Green |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 307 Rockmoor Dr, Georgetown, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366964462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT122578 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Walter Green, LMT, OM 307 Rockmoor Dr, Georgetown, TX 78628-8983 Ph: (512) 609-9188 | Kenneth Walter Green, LMT, OM 307 Rockmoor Dr, Georgetown, TX 78628-8983 Ph: (512) 609-9188 |
Stephanie M Smith, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3613 Williams Dr Ste 1003, Georgetown, TX 78628 Phone: 512-308-8836 | |
Deziree Simms, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4887-1 Williams Drive, Suite 107, Georgetown, TX 78633 Phone: 512-639-2769 | |
Tesa Wilder, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 River Bluff Cir, Georgetown, TX 78626 Phone: 325-450-7863 | |
Jennifer Dawn Newbold, LMT, MTI Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-509-2301 | |
Stephany Ann Porter, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Scenic Dr, Georgetown, TX 78626 Phone: 000-000-0000 | |
Mrs. Michele Romagus, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2502 Williams Dr # A, Georgetown, TX 78628 Phone: 512-563-8899 |