Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366964462 Individual Practitioner Male Practitioner

Kenneth Walter Green , LMT, OM

Massage Therapist • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Kenneth Green, LMT, OM is a registered healthcare professional specializing in Massage Therapist in Georgetown, TX. Practice services are available at 307 ROCKMOOR DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Rockmoor Dr

Georgetown, TX 786288983

Telephone 5126099188

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Georgetown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Georgetown, TX (3157 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License TX MT122578

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 10, 2017

Registered at 307 ROCKMOOR DR, GEORGETOWN, TX 786288983 (Tel: (512) 609-9188)

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Updated Business Mailing Address July 10, 2017

Registered at 307 ROCKMOOR DR, GEORGETOWN, TX 786288983 (Tel: 5126099188)

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Provider Name / Credentials Updated July 10, 2017

Recorded as KENNETH GREEN, LMT, OM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Massage Therapist (License #MT122578 in TX)

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Initial NPI Registration & Enumeration July 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366964462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

307 Rockmoor Dr

Georgetown, TX 786288983

Phone: 5126099188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.