Individual
COLBY DEE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
370 E SOUTH TEMPLE STE 150, SALT LAKE CITY, UT 84111-1279
(801) 521-9222
(801) 521-9333
Mailing address
4155 W 1850 N, LEHI, UT 84043-6162
(385) 535-7181
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13398778-8016
UT
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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