Provider Demographics
NPI:1164853917
Name:BELL, MELISSA MICHELLE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MICHELLE
Last Name:BELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:MICHELLE
Other - Last Name:VAN DER LINDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:114 WELTON WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117
Mailing Address - Country:US
Mailing Address - Phone:704-660-6551
Mailing Address - Fax:704-660-9894
Practice Address - Street 1:114 WELTON WAY
Practice Address - Street 2:SUITE B
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117
Practice Address - Country:US
Practice Address - Phone:704-660-6551
Practice Address - Fax:704-660-9894
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13742225100000X
NC13742225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist