MEDICARE: SARA PAULINE BELL 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	MT036923	TX

General Provider Information

NPI Number	:	1922863844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA PAULINE BELL LMT

Provider Business Mailing Address
First Line	:	214 INDIANA AVE
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-1713
Country	:	US
Telephone Number	:	361-765-7278
Fax Number	:

Provider Business Practice Location Address
First Line	:	5525 S STAPLES ST STE A5
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-5361
Country	:	US
Telephone Number	:	361-765-7278
Fax Number	:

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

Provider Enumeration Date	:	02/20/2024
Last Update Date	:	02/20/2024

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