Healthcare Provider Details

I. General information

NPI: 1891064820
Provider Name (Legal Business Name): KAREN M BELL MASSAGE THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2011
Last Update Date: 12/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 WALNUT STREET
COSHOCTON OH
43812
US

IV. Provider business mailing address

353 WALNUT ST
COSHOCTON OH
43812-1531
US

V. Phone/Fax

Practice location:
  • Phone: 740-295-7080
  • Fax: 740-295-7081
Mailing address:
  • Phone: 740-295-7080
  • Fax: 740-295-7081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number019588
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: