Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dustin Wayne Green, ATC, LAT

Individual provider Athletic Trainer · NPI 1205460458

Dustin Wayne Green, ATC, LAT is an Athletic Trainer in Alexandria, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

111 17th Ave E Ste 101
Alexandria, MN 56308-3734
Phone: (320) 762-1144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3304 (MN)

Record details

NPI number1205460458
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedFebruary 26, 2020
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020

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