IndividualActive
Christine Green, PT, ATC
NPI 1528052172 · Other Technician · Kenosha, WI
Provider details
- NPI number
- 1528052172
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- PT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- PT00005215 (WA)
Mailing address
3420 Illinois St
Great Lakes, IL 60088-3161
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2016-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.