Kevin James Bullock, PTA
Kevin James Bullock, PTA is a Physical Therapy Assistant in Desloge, Missouri. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
801 Brim StDesloge, MO 63601-3441
Phone: (573) 431-0223
Show map & directions
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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 |
|---|
Record details
| NPI number | 1003572082 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2021 |
| Last updated in NPPES | November 13, 2021 |
| Certification date | November 13, 2021 |
Other providers in Desloge
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Julia Faith Culbertson
801 Brim St, Desloge, MO 63601-3441 · (573) 431-0223
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Amy Gruhala
801 Brim St, Desloge, MO 63601-3441 · (573) 431-0223
-
Tasha Hollock, PTA
801 Brim St, Desloge, MO 63601-3441 · (573) 431-0223
-
Rob Luna
801 Brim St, Desloge, MO 63601-3441 · (573) 431-0223