DR. JONATHAN PROVOST, PT, DPT, SCS
Physical Therapist
Active
Individual
NPI: 1619377751
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 21309 (MA) |
Frequently Asked Questions
NPI 1619377751 is the National Provider Identifier for DR. JONATHAN PROVOST, PT, DPT, SCS, a Physical Therapist provider located in Hadley, MA. This NPI was enumerated on August 26, 2014.
DR. JONATHAN PROVOST, PT, DPT, SCS practices at 241 RUSSELL ST, Hadley, MA 01035.
Quick Facts
- NPI
- 1619377751
- Type
- Individual
- Enumerated
- Aug 26, 2014
- Last Updated
- Oct 31, 2022
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