| Trevor M Provencher, DPT, PT | |
|
3456 State Highway 16 South, Bandera, TX 78003 | |
| (830) 796-3447 | |
| (830) 796-3685 |
| Full Name | Trevor M Provencher |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 0 Years |
| Location | 3456 State Highway 16 South, Bandera, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992590822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1406842 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Momentum Physical And Sports Rehabilitation Limited Partnership | 0446575732 | 44 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor M Provencher, DPT, PT 12952 Bandera Rd Ste 107, Helotes, TX 78023-4733 Ph: (830) 796-3447 | Trevor M Provencher, DPT, PT 3456 State Highway 16 South, Bandera, TX 78003 Ph: (830) 796-3447 |
Miss Joyce Lynn Canion, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3456 Hwy 16 South, Bandera, TX 78003 Phone: 830-796-3447 Fax: 830-796-3685 | |
Megan Legault, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3456 Hwy. 16 South, Bandera, TX 78003 Phone: 830-796-3447 Fax: 830-796-3685 | |
Mrs. Lacy Herrmann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3456 Hwy 16 South, Bandera, TX 78003 Phone: 830-796-3447 Fax: 830-796-3685 | |
Comprehensive Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3456 Hwy 16 South, Bandera, TX 78003 Phone: 830-796-3447 Fax: 830-796-3685 | |
Jeanne Marie Hernandez, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3456 Highway 16 S, Bandera, TX 78003 Phone: 830-796-3447 Fax: 830-796-3685 | |
Deepa Basil, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 222 Fm 1077, Bandera, TX 78003 Phone: 830-796-4077 | |
Carmen M Gascot, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3456 Hwy 16 South, Bandera, TX 78003 Phone: 830-796-3447 |