Shelby Bullock, PTA

NPI #1376115147 in Warrensburg, Missouri

Provider Information

NPI Number: 1376115147
Entity Type: Individual
Name: Shelby Bullock, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 12, 2021
Last Updated: Jul 12, 2021

Practice Location

Address: 1300 VETERANS RD
City: Warrensburg
State: Missouri
ZIP Code: 64093-8294
Phone: (660) 543-5064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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