Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Mae Provencher, PT

Individual provider Physical Therapist · NPI 1992854061

Marisa Mae Provencher, PT is a Physical Therapist in Hutchinson, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1095 Highway 15 S
Hutchinson, MN 55350-5000
Phone: (320) 234-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7538 (MN)

Record details

NPI number1992854061
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1095 Highway 15 S, Hutchinson, MN 55350-5000

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