Provider Demographics
NPI:1972813269
Name:BELL, JOHNNYE LEE
Entity Type:Individual
Prefix:MISS
First Name:JOHNNYE
Middle Name:LEE
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOHNNYE
Other - Middle Name:LEE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3813 GULLIVER ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-0358
Mailing Address - Country:US
Mailing Address - Phone:702-632-3125
Mailing Address - Fax:
Practice Address - Street 1:3813 GULLIVER ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-0358
Practice Address - Country:US
Practice Address - Phone:702-632-3125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner