IndividualActive
Scott Bullard, PT
NPI 1235457128 · Physical Therapist · Mokena, IL
Provider details
- NPI number
- 1235457128
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
19841 Wolf Rd
Mokena, IL 60448-1315
Phone: (708) 479-0320
Fax: (708) 479-3695
Approximate (ZIP-level) locationGet directions
Mailing address
205 W Wacker Dr
Chicago, IL 60606-1216
Registry dates
- Enumerated
- 2010-05-17
- Last updated
- 2010-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.