Individual provider · Type 1 NPI

Tanner Bulock

Occupational Therapy Assistant · St. Paul, MN

NPI number 1942136205 Active

Practice location

1394 Jackson St
St. Paul, MN 55117-4629

Call (651) 603-8774 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X202773 (MN)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1942136205

Tanner Bulock's National Provider Identifier is 1942136205, issued on Jun 23, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 23, 2026.