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

Kaitlyn Bullock, PTA

Individual provider Physical Therapy Assistant · NPI 1649735853

Kaitlyn Bullock, PTA is a Physical Therapy Assistant in Manchester, Kentucky. Licensed in Kentucky. Registered with an NPI since 2019.

Licensed in
KY
In the registry since
2019
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

485 Memorial Dr Ste 2
Manchester, KY 40962-9111
Phone: (606) 599-1709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A03188 (KY)

Record details

NPI number1649735853
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 1, 2019
Last updated in NPPESFebruary 1, 2019

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