Provider Demographics
NPI:1821682253
Name:BELL, JOSHUA WADE
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:WADE
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 JEWETTA AVE APT E9
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-5483
Mailing Address - Country:US
Mailing Address - Phone:818-281-9909
Mailing Address - Fax:
Practice Address - Street 1:4201 JEWETTA AVE APT E9
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-5483
Practice Address - Country:US
Practice Address - Phone:818-281-9909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10232372255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer