Search › Texas › 225100000X
Trevor Provencher, DPT, PT
NPI 1992590822 · on the registry since 2025
Practice
- Address
- 3456 State Highway 16 South
Bandera, TX 78003 - Phone
- (830) 796-3447
- Fax
- (830) 796-3685
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-29
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 Texas