IndividualActive
Jeanette Bullock, ATR-BC
NPI 1871247247 · Art Therapist · Basalt, CO
Provider details
- NPI number
- 1871247247
- Entity type
- Individual
- Primary specialty
- Art TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATR-BC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
70 Silverado Dr
Basalt, CO 81621-9232
Phone: (352) 514-1625
Approximate (ZIP-level) locationGet directions
Mailing address
70 Silverado Dr
Basalt, CO 81621-9232
Registry dates
- Enumerated
- 2022-02-04
- Last updated
- 2022-02-04
- Certified
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.