MEDICARE: TRACY M. BELL MA, LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	018329-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	176254GG	OTHER	NY	PREFERRED CARE'S PROVIDER

General Provider Information

NPI Number	:	1770634156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY M. BELL MA, LMT

Provider Business Mailing Address
First Line	:	95 ALLENS CREEK RD
Second Line	:	BLDG 1 STE 312
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3250
Country	:	US
Telephone Number	:	585-406-0127
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 ALLENS CREEK RD
Second Line	:	BLDG 1 STE 312
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3250
Country	:	US
Telephone Number	:	585-406-0127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2007
Last Update Date	:	01/06/2014

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