Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Bullard, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1790409928

Emily Bullard, PTA is a Physical Medicine & Rehabilitation Physician in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087
Phone: (731) 984-7098
Fax: (731) 300-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 5877 (TN)

Record details

NPI number1790409928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 30, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

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