IndividualActive
Emily Bullard, PTA
NPI 1790409928 · Physical Medicine & Rehabilitation Physician · Jackson, TN
Provider details
- NPI number
- 1790409928
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 5877 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087
Phone: (731) 984-7098
Fax: (731) 300-4405
Approximate (ZIP-level) locationGet directions
Mailing address
2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087
Registry dates
- Enumerated
- 2022-09-30
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.