Provider Demographics
NPI:1063616084
Name:BELL, DEBORAH B
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:B
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:67661-2423
Mailing Address - Country:US
Mailing Address - Phone:785-543-3121
Mailing Address - Fax:
Practice Address - Street 1:1150 STATE ST
Practice Address - Street 2:PHILLIPS COUNTY HOSPITAL
Practice Address - City:PHILLIPSBURG
Practice Address - State:KS
Practice Address - Zip Code:67661-2423
Practice Address - Country:US
Practice Address - Phone:785-543-5226
Practice Address - Fax:785-543-6302
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1800600224Z00000X
NE766224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant