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MIA PROVENZANO
NPI 1093199499
Specialist/Technologist - Athletic Trainer in Mesa, AZ

Active since July 15, 2015
1320 S VAL VISTA DR APT 1066, MESA, AZ 85204(989) 964-1089 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mia Provenzano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA PROVENZANO (NPI 1093199499) is an individual athletic trainer provider in Mesa, Arizona and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1093199499
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMIA PROVENZANO
Location Address1320 S VAL VISTA DR APT 1066Mesa, AZ 85204-6491
Mailing Address1320 S Val Vista Dr Apt 1066Mesa, AZ 85204-6491
Phone(989) 964-1089
Sole ProprietorYes
Enumeration DateJuly 15, 2015
✔ NPI 1093199499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1320 S VAL VISTA DR APT 1066, Mesa, AZ 85204
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Provenzano's NPI number?

The NPI number for Mia Provenzano is 1093199499. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Mia Provenzano located?

Mia Provenzano practices at 1320 S Val Vista Dr Apt 1066, Mesa, AZ 85204. The listed phone number is (989) 964-1089.

What is Mia Provenzano's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mia Provenzano was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.