Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN JAMES BULLOCK, PTA
Active Sole ProprietorKEVIN JAMES BULLOCK, PTA is a Occupational Therapist healthcare provider located in DESLOGE, Missouri. NPI 1003572082 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · DESLOGE, MO
Registration Details
- NPI Number
- 1003572082
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2021 (4.5682542464247 yrs)
- Last Updated
- Nov 13, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 BRIM STDESLOGE, MO, 636013441Browse MO providers · Browse ZIP 63601
- Phone
- 5734310223
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in DESLOGE, MO
| Name | Credential | NPI |
|---|---|---|
| DANIEL BRUCE TORRENCE | — | 1467532556 |
| KENDRA PINKLEY | PTA | 1891140851 |
| AMY GRUHALA | — | 1568900918 |
| SARAH WERREMEYER | — | 1356877179 |
| TASHA HOLLOCK | PTA | 1902302490 |
| ELIZABETH ANN PACK | PTA | 1386273266 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.