Individual provider · Type 1 NPI

Kevin James Bullock, PTA

Physical Therapy Assistant · Desloge, MO

NPI number 1003572082 Active

Practice location

801 Brim St
Desloge, MO 63601-3441

Call (573) 431-0223 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1003572082

Kevin James Bullock, PTA's National Provider Identifier is 1003572082, issued on Nov 13, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Desloge, MO. The record was last updated on Nov 13, 2021.