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

Mrs. Leah K. Bullard, PTA

Individual provider Physical Therapy Assistant · NPI 1104096114

Mrs. Leah K. Bullard, PTA is a Physical Therapy Assistant in Pensacola, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

5855 Creek Station Dr
Pensacola, FL 32504-8626
Phone: (850) 477-6966
Fax: (850) 477-0267
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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 PTA20606 (FL)

Record details

NPI number1104096114
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 5, 2008
Last updated in NPPESMarch 5, 2008

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