Kevin James Bullock
Physical Therapy Assistant
801 Brim St
Desloge
, Missouri 63601-3441
Kevin James Bullock
Physical Therapy Assistant
801 Brim St
Desloge
, Missouri 63601-3441
(573) 431-0223
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Kevin James Bullock
- 801 Brim St
- Desloge, MO
- Zip : 63601-3441
- Phone : (573) 431-0223
Second Address
- Kevin James Bullock
- 801 Brim St
- Desloge, MO
- Zip : 63601-3441
- Phone : (573) 431-0223
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant |
National Provider Identifier
| NPI | 1003572082 |
|---|---|
| Provider Name | Kevin James Bullock |
| First Address | Desloge, MO 63601-3441 |
| Second Address | Desloge, MO 63601-3441 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2021 |
| Last Update Date | 13/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.