Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. David Tyler Green, MA, LAT, ATC

Individual provider Specialist · NPI 1346213071

Mr. David Tyler Green, MA, LAT, ATC is a Specialist in Richmond, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

521 Lancaster Ave Moberly 203 Eastern Kentucky University
Richmond, KY 40475
Phone: (859) 622-2140
Fax: (859) 622-8857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence AT024 (KY)

Record details

NPI number1346213071
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LAT , ATC
Sole proprietorYes
NPI enumeratedFebruary 13, 2006
Last updated in NPPESAugust 8, 2014

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