Provider Demographics
NPI:1558136655
Name:MYERS-BELL, KASANDRA LEIGH (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KASANDRA
Middle Name:LEIGH
Last Name:MYERS-BELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 US 1 S
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-6191
Mailing Address - Country:US
Mailing Address - Phone:904-829-3411
Mailing Address - Fax:904-829-3412
Practice Address - Street 1:2630 US 1 S
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-6191
Practice Address - Country:US
Practice Address - Phone:904-829-3411
Practice Address - Fax:904-829-3412
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT40993225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist