Jeffrey Dale Bullock in Shiprock - Physical Therapist
Jeffrey Dale Bullock - NPI 1922297613
Jeffrey Dale Bullock is a Physical Therapist in Shiprock, New Mexico. Jeffrey Dale Bullock practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jeffrey Dale Bullock is 1922297613. The last update date is 2019-02-11.
Jeffrey Dale Bullock's current location address is Po Box 160, Shiprock, New Mexico. You can contact this provider via phone number 5053686001 and fax number 5053687091. The mailing address for Jeffrey Dale Bullock is Po Box 160, Shiprock, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Dale Bullock |
|---|---|
| Address | Po Box 160, Shiprock, New Mexico |
| Phone Number | 5053686001 |
| Fax Number | 5053687091 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1922297613 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2019-02-11 |
Provider Mailing Address Detail
| Address | Po Box 160 |
|---|---|
| City | Shiprock |
| State | New Mexico (NM) |
| Post Code | 874200160 |
| Phone Number | 5053686001 |
| Fax Number | 5053687091 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PTL.0011340 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey Dale Bullock?
The Jeffrey Dale Bullock has been issued the NPI (National Provider Identifier) 1922297613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jeffrey Dale Bullock?
The Jeffrey Dale Bullock is situated at Po Box 160, in the city of Shiprock, state of NM, with the zip code 874200160.
What is the Jeffrey Dale Bullock's specialty and taxonomy code?
The Jeffrey Dale Bullock's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922297613 to Jeffrey Dale Bullock?
The Centers for Medicare & Medicaid Services originally issued the 1922297613 to Jeffrey Dale Bullock on 2007-10-17.
When was the Jeffrey Dale Bullock's information last updated?
The Jeffrey Dale Bullock's information was last updated on 2019-02-11.
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