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

Jospeh Provo, MT

Individual provider Massage Therapist · NPI 1912658949

Jospeh Provo, MT is a Massage Therapist in Palmer, Alaska. Licensed in Alaska. Registered with an NPI since 2022.

Licensed in
AK
In the registry since
2022
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

108 E Arctic Ave
Palmer, AK 99645-6254
Phone: (907) 745-4357
Fax: (907) 745-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 185638 (AK)

Record details

NPI number1912658949
Entity typeIndividual (Type 1)
GenderMale
Credentials MT
Sole proprietorNo
NPI enumeratedJanuary 11, 2022
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 11, 2022
Mailing address108 E Arctic Ave, Palmer, AK 99645-6254

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