Individual
RENEE BULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
373 W 101ST TER STE 220, KANSAS CITY, MO 64114-4408
(816) 489-4161
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018020774
MO
2251X0800X
Orthopedic Physical Therapist
096133
IA
Other
Enumeration date
06/28/2018
Last updated
12/03/2025
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