Kaitlyn Bullock, PTA

NPI #1649735853 in Manchester, Kentucky

Provider Information

NPI Number: 1649735853
Entity Type: Individual
Name: Kaitlyn Bullock, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 1, 2019
Last Updated: Feb 1, 2019

Practice Location

Address: 485 MEMORIAL DR STE 2
City: Manchester
State: Kentucky
ZIP Code: 40962-9111
Phone: (606) 599-1709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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