KENNETH WALTER GREEN LMT, OM
NPI 1366964462
Massage Therapist in Georgetown, TX

Q: What is Kenneth Green's NPI number?

The NPI number for Kenneth Green is 1366964462. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Q: What is Kenneth Green's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Green was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 10, 2017

307 ROCKMOOR DR, GEORGETOWN, TX 78628(512) 609-9188 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 10, 2017 (2 updates tracked since 2017).

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About Kenneth Walter Green Lmt, Om NPPES

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

KENNETH WALTER GREEN LMT, OM (NPI 1366964462) is an individual massage therapist in Georgetown, Texas, licensed in Texas (MT122578) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1366964462

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameKENNETH WALTER GREENCredential: LMT, OM

Location Address307 ROCKMOOR DRGeorgetown, TX 78628-8983

Mailing Address307 Rockmoor DrGeorgetown, TX 78628-8983 · (512) 609-9188

Phone(512) 609-9188

Sole ProprietorYes

Enumeration DateJuly 10, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1366964462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in TX · MT122578

Definition

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.

307 ROCKMOOR DR, Georgetown, TX 78628

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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 Kenneth Green's NPI number?

The NPI number for Kenneth Green is 1366964462. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Kenneth Green located?

Kenneth Green practices at 307 Rockmoor Dr, Georgetown, TX 78628. The listed phone number is (512) 609-9188.

What is Kenneth Green's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kenneth Green was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.