Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY WELCKER PROVINE, PTA
Active Sole ProprietorJODY WELCKER PROVINE, PTA is a Skilled Nursing Facility healthcare provider located in NORTH BEND, Washington. NPI 1841669272 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · NORTH BEND, WA
Registration Details
- NPI Number
- 1841669272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2015 (10.889490490535 yrs)
- Last Updated
- Sep 16, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
219 CEDAR AVE SNORTH BEND, WA, 980458262Browse WA providers · Browse ZIP 98045
- Phone
- 4258882129
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.