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

Tanner Bulock

Individual provider Occupational Therapy Assistant · NPI 1942136205

Tanner Bulock is an Occupational Therapy Assistant in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

1394 Jackson St
Saint Paul, MN 55117-4629
Phone: (651) 603-8774
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 202773 (MN)

Record details

NPI number1942136205
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address1394 Jackson St, Saint Paul, MN 55117-4629

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