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Kevin Bullock, PTA
NPI 1003572082 · on the registry since 2021 · sole proprietor
Practice
- Address
- 801 Brim St
Desloge, MO 63601 - Phone
- (573) 431-0223
- Organisation at this address
- Nhc Healthcare-Desloge Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Sex
- Male
- Record last updated
- 2021-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri