Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANETTE BULLOCK, ATR-BC
ActiveArt Therapist · BASALT, CO
Registration Details
- NPI Number
- 1871247247
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 4, 2022 (4.2112481927888 yrs)
- Last Updated
- Feb 4, 2022
Practice Information
- Address
-
70 SILVERADO DRBASALT, CO, 816219232Browse CO providers · Browse ZIP 81621
- Phone
- 3525141625
- Primary Specialty
-
Art Therapist
221700000X
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.