Green, Travis

Green, Travis is an individual health care provider with primary practice located at 5595 Memorial Ave N , Oak Park Heights MN 55082-1091. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Green, Travis can be contacted via phone (651) 439-4488.

Contact Information

Primary practice address
5595 Memorial Ave N Oak Park Heights MN 55082-1091
Phone: (651) 439-4488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1423 Minnesota

Profile Details

NPI number 1336280361
LBN Legal business name Green, Travis
Credentials ATR
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers