SearchMissouriPhysical Therapy Assistant

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