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

MS. Jacqueline Wenona Bullard, PTA

Individual provider Physical Therapy Assistant · NPI 1598246472

MS. Jacqueline Wenona Bullard, PTA is a Physical Therapy Assistant in Lockesburg, Arkansas. Practices as a sole proprietor. Licensed in Arkansas and Oklahoma.

Licensed in
AR, OK
In the registry since
2018
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

245 Thornton Rd
Lockesburg, AR 71846-9406
Phone: (405) 962-8447
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4330 (AR)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2386 (OK)

Record details

NPI number1598246472
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 28, 2018
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023