Provider Demographics
NPI:1730327388
Name:BELL, AMANDA KAY (LMP)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:KAY
Last Name:BELL
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9623 32 ST. S.E.
Mailing Address - Street 2:BUILDING A, #102
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258
Mailing Address - Country:US
Mailing Address - Phone:425-512-7731
Mailing Address - Fax:425-320-4091
Practice Address - Street 1:9623 32ND ST SE
Practice Address - Street 2:#102
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-5779
Practice Address - Country:US
Practice Address - Phone:425-335-0300
Practice Address - Fax:425-335-0302
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist