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

Jeannie Bullock

Individual provider Physical Therapist · NPI 1861891798

Jeannie Bullock is a Physical Therapist in San Jose, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

1558 Jacob Ave
San Jose, CA 95118-1631
Phone: (408) 375-7899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17193 (CA)

Record details

NPI number1861891798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESAugust 15, 2014

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