Provider Demographics
NPI:1063824357
Name:BELL, FAISON JR (AAS,BS, MA)
Entity Type:Individual
Prefix:MR
First Name:FAISON
Middle Name:
Last Name:BELL
Suffix:JR
Gender:M
Credentials:AAS,BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13992 E STANFORD CIR APT M8
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1026
Mailing Address - Country:US
Mailing Address - Phone:720-218-6765
Mailing Address - Fax:
Practice Address - Street 1:13992 E STANFORD CIR APT M8
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1026
Practice Address - Country:US
Practice Address - Phone:720-218-6765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012774225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant