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

Jody Welcker Provine, PTA

Individual provider Skilled Nursing Facility · NPI 1841669272

Jody Welcker Provine, PTA is a Skilled Nursing Facility in North Bend, Washington. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

219 Cedar Ave S
North Bend, WA 98045-8262
Phone: (425) 888-2129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1841669272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 16, 2015
Last updated in NPPESSeptember 16, 2015

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