Provider Demographics
NPI:1841319563
Name:BELL, DEANNA FAITH (LMT, CYI)
Entity type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:FAITH
Last Name:BELL
Suffix:
Gender:F
Credentials:LMT, CYI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2815 NE JILL AVE
Mailing Address - Street 2:#1
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7729
Mailing Address - Country:US
Mailing Address - Phone:541-610-7394
Mailing Address - Fax:541-330-6626
Practice Address - Street 1:1900 NE DIVISION ST
Practice Address - Street 2:SUITE 106
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-3525
Practice Address - Country:US
Practice Address - Phone:541-610-7394
Practice Address - Fax:541-330-6626
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7217225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist