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

Tanner Wayne Green, DC, ATC

Individual provider Chiropractor · NPI 1578146841

Tanner Wayne Green, DC, ATC is a Chiropractor in Boonville, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

321 Main St
Boonville, MO 65233-1565
Phone: (660) 882-5775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2021015944 (MO)

Record details

NPI number1578146841
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , ATC
Sole proprietorYes
NPI enumeratedMay 4, 2021
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address321 Main St, Boonville, MO 65233-1565

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