Provost, Jonathan Michael

Provost, Jonathan Michael is an individual health care provider with primary practice located at 241 Russell St , Hadley MA 01035-9558. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Provost, Jonathan Michael can be contacted via phone (413) 586-5552.

Contact Information

Primary practice address
241 Russell St Hadley MA 01035-9558
Phone: (413) 586-5552
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 21309 Massachusetts

Profile Details

NPI number 1619377751
LBN Legal business name Provost, Jonathan Michael
Credentials PT, DPT, SCS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2014
Last updated Oct 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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