Provider Demographics
NPI:1083673669
Name:BELL, DAVID GENE (ATC/LAT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:GENE
Last Name:BELL
Suffix:
Gender:M
Credentials:ATC/LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2718 W 68TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74132-1748
Mailing Address - Country:US
Mailing Address - Phone:918-445-5193
Mailing Address - Fax:918-445-6278
Practice Address - Street 1:2718 W 68TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74132-1748
Practice Address - Country:US
Practice Address - Phone:918-445-5193
Practice Address - Fax:918-445-6278
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKAT1212255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer