MEDICARE: BELINDA JOYCE HART 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	12332	OR

General Provider Information

NPI Number	:	1811128515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA JOYCE HART LMT

Provider Business Mailing Address
First Line	:	PO BOX 927
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-0212
Country	:	US
Telephone Number	:	541-891-6010
Fax Number	:	541-751-7877

Provider Business Practice Location Address
First Line	:	3229 BROADWAY ST
Second Line	:	UNIT G
City	:	NORTH BEND
State	:	OR
Zip	:	97459-2203
Country	:	US
Telephone Number	:	541-751-7979
Fax Number	:	541-751-7877

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

Provider Enumeration Date	:	07/30/2009
Last Update Date	:	07/30/2009

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Directions to “ BELINDA JOYCE HART LMT” Practice Location

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