Individual provider · Type 1 NPI

Shelby Bullock, PTA

Physical Therapy Assistant · Warrensburg, MO

NPI number 1376115147 Active

Practice location

1300 Veterans Rd
Warrensburg, MO 64093-8294

Call (660) 543-5064 Map

Mailing address

800 S Main St
Clinton, MO 64735-2624

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2016037538 (MO)

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 1376115147

Shelby Bullock, PTA's National Provider Identifier is 1376115147, issued on Jul 12, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Warrensburg, MO. The record was last updated on Jul 12, 2021.