Provider Demographics
NPI:1952162448
Name:HULL, BELLA (LMT/CR)
Entity Type:Individual
Prefix:MS
First Name:BELLA
Middle Name:
Last Name:HULL
Suffix:
Gender:F
Credentials:LMT/CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 ALCORN TER.
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-4338
Mailing Address - Country:US
Mailing Address - Phone:804-426-3515
Mailing Address - Fax:
Practice Address - Street 1:1025 ALCORN TER.
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4338
Practice Address - Country:US
Practice Address - Phone:804-426-3515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019003591225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist