DR. Michael Louis Provenzano, D.C.,D.P.T

NPI #1225157423 in Andover, Massachusetts

Provider Information

NPI Number: 1225157423
Entity Type: Individual
Name: DR. Michael Louis Provenzano, D.C.,D.P.T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.C.,D.P.T
Enumeration Date: Mar 28, 2007
Last Updated: Dec 17, 2025

Practice Location

Address: 16 HAVERHILL ST
City: Andover
State: Massachusetts
ZIP Code: 01810-3002
Phone: (978) 470-1499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Chiropractor	111N00000X

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