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

MATTHEW V PROVENZANO, PT

Active

MATTHEW V PROVENZANO, PT is a Physical Therapy Assistant healthcare provider located in HIXSON, Tennessee. NPI 1295004356 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HIXSON, TN

Registration Details

NPI Number
1295004356
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2011 (14.663171703177 yrs)
Last Updated
Dec 19, 2011

Practice Information

Address
1790 HAMILL RD
HIXSON, TN, 373434905
Browse TN providers · Browse ZIP 37343
Phone
4237714600
Fax
8665910619
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HIXSON, TN

Name Credential NPI
KEVIN KOSTKA P.T. 1265494876
TIMOTHY DANIEL DOTSON DPT 1891733143
MATTHEW JON CARBONE MPT 1154369494
HANNAH GIBSON NORTON MSPT 1063450302
MR. JEFFREY PAUL SODEMANN PHYSICAL THERAPIST 1891733093
DR. LISA KAY ANTHONY PT,MSPT, DPT 1215966106
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.