Healthcare Provider Details
I. General information
NPI: 1477977718
Provider Name (Legal Business Name): VICTORIA BELL NMT, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/06/2014
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7410 S FEDERAL HWY STE 303
PORT SAINT LUCIE FL
34952-1419
US
IV. Provider business mailing address
1725 SE CLEARMONT ST
PORT SAINT LUCIE FL
34983-4605
US
V. Phone/Fax
- Phone: 561-206-4270
- Fax:
- Phone: 561-206-4270
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175L00000X |
| Taxonomy | Homeopath |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | MA59985 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 226300000X |
| Taxonomy | Kinesiotherapist |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 173C00000X |
| Taxonomy | Reflexologist |
| License Number | |
| License Number State | NULL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: