IndividualActive
Gerry Provance, D.C.
NPI 1063555662 · Sports Physician Chiropractor · Metairie, LA
Provider details
- NPI number
- 1063555662
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 414 (LA)
Specialties & taxonomies
Chiropractic Providers
Practice location
2007 Clearview Pkwy
Metairie, LA 70001-2404
Phone: (504) 456-9296
Fax: (504) 456-9799
Approximate (ZIP-level) locationGet directions
Mailing address
2007 Clearview Pkwy
Metairie, LA 70001-2404
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.