Provider Demographics
NPI:1598034746
Name:BELL, JEANIE (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:JEANIE
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 SAILMAKER WAY
Mailing Address - Street 2:APT 301
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-5463
Mailing Address - Country:US
Mailing Address - Phone:901-848-9603
Mailing Address - Fax:
Practice Address - Street 1:1600 SAILMAKER WAY
Practice Address - Street 2:APT 301
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-5463
Practice Address - Country:US
Practice Address - Phone:901-848-9603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-16
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3943225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist