NPI 1376014597

Kevin Brent Tull

Practitioner Physical Therapy Assistant Fulton, MS

Practice location

Address: 19525 Old Highway 25 N, Fulton, MS 38843-7286
Phone: (662) 231-3556

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2142558 (TX)

Other Physical Therapy Assistant providers in Mississippi →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA6244 (MS)

Registry record

NPI: 1376014597
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2018
Record last updated: 17 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.