Provider Demographics
NPI:1063809796
Name:BELL, MELISA ANN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MELISA
Middle Name:ANN
Last Name:BELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:MELISA
Other - Middle Name:ANN
Other - Last Name:NOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:199 LEFT FORK COPPERAS LICK BR
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-8920
Mailing Address - Country:US
Mailing Address - Phone:606-886-8380
Mailing Address - Fax:
Practice Address - Street 1:62 MAUDE ROAD
Practice Address - Street 2:
Practice Address - City:INEZ
Practice Address - State:KY
Practice Address - Zip Code:41224
Practice Address - Country:US
Practice Address - Phone:606-298-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR1477225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist