Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER SULLIVAN BULLOCK, PT, DPT
Active Sole ProprietorDR. JENNIFER SULLIVAN BULLOCK, PT, DPT is a Physical Therapy Assistant healthcare provider located in MOUNTAIN VILLAGE, Colorado. NPI 1164907986 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MOUNTAIN VILLAGE, CO
Registration Details
- NPI Number
- 1164907986
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2018 (7.7352352317697 yrs)
- Last Updated
- Sep 27, 2018
- License
-
1081933 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
622 MOUNTAIN VILLAGE BLVD STE 102MOUNTAIN VILLAGE, CO, 814359529Browse CO providers · Browse ZIP 81435
- Phone
- 2148642440
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.