Individual provider · Type 1 NPI
Lori Bullock, RPT
Specialist · Marshfield, MO
NPI number
1821178989
Active
Practice location
106 N Crittenden St
Marshfield, MO 65706-1408
Fax (417) 859-0100
Mailing address
1911 S National Ave, Suite 302
Springfield, MO 65804-2219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 109731 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1821178989
Lori Bullock, RPT's National Provider Identifier is 1821178989, issued on Oct 16, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Marshfield, MO. The record was last updated on Jul 8, 2007.