Provider Demographics
NPI:1285033019
Name:BELL, KATANA (CMT, LMT)
Entity Type:Individual
Prefix:
First Name:KATANA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:CMT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17171 ROSCOE BLVD
Mailing Address - Street 2:APT 118D
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4060
Mailing Address - Country:US
Mailing Address - Phone:323-454-1204
Mailing Address - Fax:
Practice Address - Street 1:17171 ROSCOE BLVD
Practice Address - Street 2:APT 118D
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4060
Practice Address - Country:US
Practice Address - Phone:323-454-1204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39485225700000X
HI12070225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist