Provider Demographics
NPI:1306905864
Name:BELEW, BART ALLAN (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:BART
Middle Name:ALLAN
Last Name:BELEW
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BOB CARROLL FOOTBALL BUILDING
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:TN
Mailing Address - Zip Code:38238-0001
Mailing Address - Country:US
Mailing Address - Phone:731-881-7689
Mailing Address - Fax:731-881-7690
Practice Address - Street 1:107 BOB CARROLL FOOTBALL BUILDING
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38238-0001
Practice Address - Country:US
Practice Address - Phone:731-881-7689
Practice Address - Fax:731-881-7690
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5072255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer