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Trent Duane Bullock
Prosthetic/Orthotic Supplier in Henderson, Kentucky
NPI 1477018521

Trent Duane Bullock is a Prosthetic/Orthotic Supplier based in Henderson, KY. Trent Duane Bullock practices in Henderson, KY. The NPI Number for Trent Duane Bullock is 1477018521 and holds a License No. (Kentucky).

The current practice location address for Trent Duane Bullock is 137 2Nd St, Henderson, KY and can be reached out via phone at 270-860-9785.

Location: 137 2Nd St, Henderson, KY, 42420-3135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477018521
Provider Name
Trent Duane Bullock
Credential
Provider Entity Type
Individual
Gender
Male
Address
137 2Nd St, Henderson, KY, 42420-3135
Phone Number
270-860-9785
Fax Number
Provider Enumeration Date
02/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
137 2Nd St
City
Henderson
State
Kentucky
Zip
42420-3135
Phone Number
270-860-9785
Fax Number
person
Provider Business Mailing Address Details
Address
137 2Nd St
City
Henderson
State
Kentucky
Zip
42420-3135
Phone Number
270-860-9785
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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