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

Michael Wayne Green, OTR/L

Individual provider Occupational Therapist · NPI 1871210542

Michael Wayne Green, OTR/L is an Occupational Therapist in Marble Hill, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

702 Highway 34 W
Marble Hill, MO 63764-4301
Phone: (573) 238-4272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2012001142 (MO)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1871210542
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 14, 2022

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