IndividualActive
Bryan Green, PT, DPT
NPI 1104115583 · Physical Therapist · Mayfield, KY
Provider details
- NPI number
- 1104115583
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 005132 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1099 Medical Center Cir
Mayfield, KY 42066-1159
Phone: (270) 251-4121
Approximate (ZIP-level) locationGet directions
Mailing address
1512 W Broadway St
Mayfield, KY 42066-1926
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2011-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.