Individual
CRAIG D BULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
306 E SCENIC VALLEY AVE, INDIANOLA, IA 50125-4865
(515) 512-9225
(515) 512-9186
Mailing address
6601 WESTOWN PKWY STE 200, WEST DES MOINES, IA 50266-7733
(515) 512-9225
(515) 512-9186
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005130
IA
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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