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

Kathy Bullock

Individual provider Physical Therapy Assistant · NPI 1255626388

Kathy Bullock is a Physical Therapy Assistant in South Ogden, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
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Practice location Address checks out

5974 Fashion Point Dr Ste 100
South Ogden, UT 84403-4699
Phone: (801) 479-9644
Fax: (801) 479-9639
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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 5597738-2402 (UT)

Record details

NPI number1255626388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2011
Last updated in NPPESJune 16, 2011
Mailing address1892 W 1590 S, Woods Cross, UT 84087-2474