NPI 1871247247
Jeanette Bullock, ATRBC
Practice location
- Address
- 70 Silverado Dr, Basalt, CO 81621-9232
- Phone
- (352) 514-1625
Registered specialties
Art Therapist
Primary
Registry record
- NPI
- 1871247247
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Feb 2022
- Record last updated
- 4 Feb 2022
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.