JEFFREY MICHAEL BULLOCK

PADUCAH, KY
NPI1386848174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  PT-004550)
Enumeration Date2007-06-13
Last Update Date2007-07-08
Business Address
-- JEFFREY MICHAEL BULLOCK PT
544 LONE OAK RD
PADUCAH, KY 42003-4538
Phone number: 270-443-6543
Mailing Address
-- JEFFREY MICHAEL BULLOCK PT
5001 JEWELL LN
PADUCAH, KY 42001-9293
Phone number: 270-534-8650
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