Individual
SHANA LYNN BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
127 PRATT DR, CORINTH, MS 38834-6026
(662) 284-9838
(662) 284-9866
Mailing address
5 NORTHSIDE DR, BELMONT, MS 38827-9201
(662) 416-1049
(662) 284-9866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PTA3102
MS
225200000X
Physical Therapy Assistant
Primary
PTA3102
MS
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487911269
—
MS
Enumeration date
01/31/2007
Last updated
04/07/2020
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