Basic Information
Provider Information
NPI: 1366874919
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELL
FirstName: MEGAN
MiddleName: CHRISTINE
NamePrefix: DR.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9315 GRAVELLY LAKE SWDR 306
Address2:  
City: LAKEWOOD
State: WA
PostalCode: 984991581
CountryCode: US
TelephoneNumber: 2535815200
FaxNumber: 2535815203
Practice Location
Address1: 8301 E PRENTICE AVE
Address2: SUITE 207
City: GREENWOOD VILLAGE
State: CO
PostalCode: 801112903
CountryCode: US
TelephoneNumber: 3033328300
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/06/2013
LastUpdateDate: 08/07/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT60568973WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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