Healthcare Provider Details

I. General information

NPI: 1467390336
Provider Name (Legal Business Name): LISA BELL PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 W 600 S STE 200
HEBER CITY UT
84032-2284
US

IV. Provider business mailing address

345 W 600 S STE 200
HEBER CITY UT
84032-2284
US

V. Phone/Fax

Practice location:
  • Phone: 435-654-5607
  • Fax:
Mailing address:
  • Phone: 435-654-5607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number13773551-2402
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: