Mary Bell, PTA
Individual provider Active NPI Physical Therapy Assistant · Columbia, MO
NPI 1144770702 · NPPES record last updated Oct 7, 2016
Key facts
- NPI
- 1144770702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2012039739 (MO)
- Practice address
- 1100 Club Village Dr
Suite 103
Columbia, MO 65203-4409 - Phone
- (877) 870-4976
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012039739 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2012039739 | MO | Yes |
Addresses
Primary practice location
1100 Club Village Dr
Suite 103
Columbia, MO 65203-4409
Mailing address
1100 Club Village Dr
Suite 103
Columbia, MO 65203-4409
Phone (877) 870-4976
Other providers in Columbia, MO
- Debora Jeneen Bell
- Debra Bell
- Jamie Leann Bell
- Katherine Bell
- Katheryn Bell
- Ricky L. Bell
- Robert Dale Bell
- Jaime L Bellamy
- Sameer Bellapravalu
- Austyn Patrice Belle Isle
All providers in Columbia, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.