Provider Demographics
NPI:1720135650
Name:BELL, JAMES MICHAEL (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:BELL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 PRATT DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-6040
Mailing Address - Country:US
Mailing Address - Phone:662-284-9838
Mailing Address - Fax:662-284-9866
Practice Address - Street 1:125 PRATT DR
Practice Address - Street 2:SUITE C
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-6040
Practice Address - Country:US
Practice Address - Phone:662-284-9838
Practice Address - Fax:662-284-9866
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT 1442225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08171070Medicaid