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

MARISA MAE PROVENCHER, PT

Active

MARISA MAE PROVENCHER, PT is a Physical Therapy Assistant healthcare provider located in HUTCHINSON, Minnesota. NPI 1992854061 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HUTCHINSON, MN

Registration Details

NPI Number
1992854061
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2007 (19.561626143498 yrs)
Last Updated
Jul 8, 2007
License
7538 (MN)

Practice Information

Address
1095 HIGHWAY 15 S
HUTCHINSON, MN, 553505000
Browse MN providers · Browse ZIP 55350
Phone
3202345000
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HUTCHINSON, MN

Name Credential NPI
JONATHAN CLAUDE BEACH PT 1578612560
DEBORAH KAY CARRIGAN PT 1750430757
MARNE MARIE REINER PT 1740339886
THERESA MARIE SKROVE PT 1598814659
SUSAN MARY ELLENSON PT 1033268107
DANA A HAMILTON PT 1720137805
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.