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

Mrs. Tiffany Louise Green, ATC

Individual provider Athletic Trainer · NPI 1558635219

Mrs. Tiffany Louise Green, ATC is an Athletic Trainer in Charleston, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1501 Woodlawn Dr Apt #1
Charleston, IL 61920-4262
Phone: (906) 290-2429
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IL)

Record details

NPI number1558635219
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 28, 2012
Last updated in NPPESFebruary 28, 2012

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