Provider Demographics
NPI:1457008070
Name:PULLEN, LINDA BELLE (MMT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:BELLE
Last Name:PULLEN
Suffix:
Gender:F
Credentials:MMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 E EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-3966
Mailing Address - Country:US
Mailing Address - Phone:479-283-1992
Mailing Address - Fax:
Practice Address - Street 1:STEEL CREEL ACUPUNCTURE
Practice Address - Street 2:117 E SYCAMORE STREET
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703
Practice Address - Country:US
Practice Address - Phone:479-301-2307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1695225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty