Individual provider · Type 1 NPI

Jaclyn Bulluck, PT, DPT

Physical Therapist · Dacula, GA

NPI number 1417801663 Active

Practice location

1854 Auburn Rd Ste 101
Dacula, GA 30019-1130

Call (770) 904-6009 Map

Fax (770) 904-2357

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT018136 (GA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1417801663

Jaclyn Bulluck, PT, DPT's National Provider Identifier is 1417801663, issued on Feb 24, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Dacula, GA. The record was last updated on Feb 24, 2026.