DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTIN MARIE PROVO, PT, DPT

Active

KRISTIN MARIE PROVO, PT, DPT is a Physical Therapy Assistant healthcare provider located in MOUNT MORRIS, New York. NPI 1275849895 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MOUNT MORRIS, NY

Registration Details

NPI Number
1275849895
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2010 (15.9895408258 yrs)
Last Updated
Dec 22, 2023
License
033003 (NY)

Practice Information

Address
KIDSTART
5871 GROVELAND STATION RD
MOUNT MORRIS, NY, 145109767
Browse NY providers · Browse ZIP 14510
Phone
5856584023
Fax
5856584066
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MOUNT MORRIS, NY

Name Credential NPI
CRAIG CLARKE ULLOCK P.T. 1528119633
MEGAN HOPKINS 1104225333
DR. RYAN CALNAN PT, DPT 1699260075
JOLENE ANNA RUGG PT, DPT 1912533274
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.