Kevin Brent Tull

NPI #1376014597 in Fulton, Mississippi

Provider Information

NPI Number: 1376014597
Entity Type: Individual
Name: Kevin Brent Tull
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 16, 2018
Last Updated: Dec 17, 2018

Practice Location

Address: 19525 OLD HIGHWAY 25 N
City: Fulton
State: Mississippi
ZIP Code: 38843-7286
Phone: (662) 231-3556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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