Individual provider · Type 1 NPI

Kathy Bullock

Physical Therapy Assistant · South Ogden, UT

NPI number 1255626388 Active

Practice location

5974 Fashion Point Dr, Ste 100
South Ogden, UT 84403-4699

Call (801) 479-9644 Map

Fax (801) 479-9639

Mailing address

1892 W 1590 S
Woods Cross, UT 84087-2474

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5597738-2402 (UT)

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 …

14 other providers at this address

About NPI 1255626388

Kathy Bullock's National Provider Identifier is 1255626388, issued on Jun 16, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in South Ogden, UT. The record was last updated on Jun 16, 2011.