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Contact Information

CHARLES H GREENE III, MS, PT, ATC
203 S POLK ST
ALBANY, MO64402-1618
 Phone: 660-726-5762
 Fax: 660-726-5764
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CHARLES H GREENE III · (Male)

NPI Number 1073554986
Status Active
Credentials MS, PT, ATC
Entity Individual
Enumeration date 06/10/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 1101879
  • MO License # 104902
  • MO License # 1068862
  • MO Other 25783024 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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