Individual provider · Type 1 NPI

Kaitlyn Bullock, PTA

Physical Therapy Assistant · Manchester, KY

NPI number 1649735853 Active

Practice location

485 Memorial Dr Ste 2
Manchester, KY 40962-9111

Mailing address

1223 Hooker Rd
Manchester, KY 40962-8132

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA03188 (KY)

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 1649735853

Kaitlyn Bullock, PTA's National Provider Identifier is 1649735853, issued on Feb 1, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Manchester, KY. The record was last updated on Feb 1, 2019.