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Kathy Bullock
NPI 1255626388 · on the registry since 2011
Practice
- Address
- 5974 Fashion Point Dr
Ste 100
South Ogden, UT 84403 - Phone
- (801) 479-9644
- Fax
- (801) 479-9639
- Organisation at this address
- Provas Of Ogden, Llc
Clifford D Daines D D S
Ivy Lane Pediatrics, Llc
Therapeutic Wellness Center
Trauma Focused Recovery PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-06-16
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 Utah