Search › Tennessee › 133V00000X
Casey Provo, MS, RDN, LDN
NPI 1386163707 · on the registry since 2017
Practice
- Address
- 1689 Nonconnah Blvd.
Memphis, TN 38132 - Phone
- (901) 523-8990
- Organisation at this address
- Memphis Vamc
Proactive Therapy Of Greenville IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Additional practice sites
- 1030 Jefferson Ave., Memphis, TN
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee