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

MR. WILLIAM A PROVOST JR., LMP

Active Sole Proprietor

MR. WILLIAM A PROVOST JR., LMP is a Massage Therapist healthcare provider located in COLVILLE, Washington. NPI 1649317827 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · COLVILLE, WA

Registration Details

NPI Number
1649317827
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2007 (19.392377525082 yrs)
Last Updated
Jul 8, 2007
License
MA0001511 (WA)
Sole Proprietor
Yes

Practice Information

Address
162 S MAIN ST
COLVILLE, WA, 991142406
Browse WA providers · Browse ZIP 99114
Phone
5096841420
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in COLVILLE, WA

Name Credential NPI
JILLIAN THORSON-FRIEDMAN L.M.P. 1174673578
MISS SHANNON SCAMAHORN LMP 1285772095
JANNETT A ELLIOTT LMP 1295875151
URSULA ANDREWS LMP 1457482465
MICHELLE PAYETTE LMP 1578695201
REBECCA LEE CURTISS L.M.P. 1306969217
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.