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DUSTIN WAYNE GREEN ATC, LAT
NPI 1205460458
Specialist/Technologist - Athletic Trainer in Alexandria, MN

Active since February 26, 2020
111 17TH AVE E STE 101, ALEXANDRIA, MN 56308(320) 762-1144 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dustin Wayne Green Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN WAYNE GREEN ATC, LAT (NPI 1205460458) is an individual athletic trainer provider in Alexandria, Minnesota, licensed in Minnesota (3304) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1205460458
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameDUSTIN WAYNE GREENCredential: ATC, LAT
Location Address111 17TH AVE E STE 101Alexandria, MN 56308-3734
Mailing Address111 17th Ave E Ste 101Alexandria, MN 56308-5274 · (320) 762-1144 · Fax (320) 762-1935
Phone(320) 762-1144
Sole ProprietorYes
Enumeration DateFebruary 26, 2020
✔ NPI 1205460458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MN · 3304
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
111 17TH AVE E STE 101, Alexandria, MN 56308
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DUANE C MALO LAT
Specialist/Technologist (Athletic Trainer)
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308
Douglas County (320) 762-1144
AMY JOHANEK ATC
Specialist/Technologist (Athletic Trainer)
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308
Douglas County (320) 250-7703
AARON J BALGAARD M.D.
Orthopaedic Surgery
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308
Douglas County (320) 762-1144
ASHLYN KAY PETERSON PA
Physician Assistant
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308
Douglas County (320) 762-1144
JAMES HELGE NELSON MD
Orthopaedic Surgery
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308
Douglas County (320) 762-1144
DREW PARADIS PT, DPT
Physical Therapist (Orthopedic)
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308
Douglas County (320) 762-1144
DR. EMILY MONROE M.D.
Orthopaedic Surgery
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308
Douglas County (320) 762-1144
MRS. DIANNE DENISE DOYLE RPT
Physical Therapist (Orthopedic)
111 17TH AVE E STE 101
ALEXANDRIA, MN 56308
Douglas County (320) 762-1144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Green's NPI number?

The NPI number for Dustin Green is 1205460458. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Dustin Green located?

Dustin Green practices at 111 17th Ave E Ste 101, Alexandria, MN 56308. The listed phone number is (320) 762-1144.

What is Dustin Green's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Dustin Green was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.