Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN MICHAEL PROVOST, PT, DPT, SCS
ActiveDR. JONATHAN MICHAEL PROVOST, PT, DPT, SCS is a Physical Therapy Assistant healthcare provider located in HADLEY, Massachusetts. NPI 1619377751 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HADLEY, MA
Registration Details
- NPI Number
- 1619377751
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2014 (11.941008626998 yrs)
- Last Updated
- Oct 31, 2022
- License
-
21309 (MA)
Practice Information
- Address
-
241 RUSSELL STHADLEY, MA, 010359558Browse MA providers · Browse ZIP 01035
- Phone
- 4135865552
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HADLEY, MA
| Name | Credential | NPI |
|---|---|---|
| MS. LISA LYNNE SANDERSON | MS, PT | 1093706384 |
| DENISE AVISATA | PT | 1871837245 |
| LINDA COFFEY | PT | 1215348610 |
| MR. MAURICE PATRICK DISLEY IV | DPT | 1225553548 |
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.