Individual provider · Type 1 NPI

Ian Provence, DPT

Orthopedic Physical Therapist · Coon Rapids, MN

NPI number 1225849870 Active

Practice location

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841

Call (763) 228-2781 Map

Mailing address

7226 58th Ave N
Minneapolis, MN 55428-3222

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800XNone listed

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1225849870

Ian Provence, DPT's National Provider Identifier is 1225849870, issued on Jan 14, 2025. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Coon Rapids, MN. The record was last updated on Jan 14, 2025.