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

MS. KATHY C PROVENCHER

Active Sole Proprietor

MS. KATHY C PROVENCHER is a Physical Therapy Assistant healthcare provider located in WATERBURY, Vermont. NPI 1316098619 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WATERBURY, VT

Registration Details

NPI Number
1316098619
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2007 (19.538304996527 yrs)
Last Updated
Sep 28, 2015
License
0400002724 (VT)
Sole Proprietor
Yes

Practice Information

Address
137S MAIN ST
WATERBURY, VT, 056761579
Browse VT providers · Browse ZIP 05676
Phone
8022441140
Fax
8022446851
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WATERBURY, VT

Name Credential NPI
LINI B. WING-ALBERGHINI M.S.P.T. 1063553337
CAROLYN BAUMAN DESSUREAU P.T. 1598919391
EMILY HAYWORTH DABROWSKI MPT 1932349206
ELAYNE KAY GEBA PT 1659619690
KATHRYN THEISEN 1316360720
MRS. KRISTA JUDITH MAYER-PLASSE MSPT 1801333844
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.