Provider Demographics
NPI:1891064820
Name:BELL, KAREN M (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:BELL
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1531
Mailing Address - Country:US
Mailing Address - Phone:740-295-7080
Mailing Address - Fax:740-295-7081
Practice Address - Street 1:353 WALNUT STREET
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812
Practice Address - Country:US
Practice Address - Phone:740-295-7080
Practice Address - Fax:740-295-7081
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH019588174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH019588OtherLIMITED PRACTITIONERS CERTIFICATE