Provider Demographics
NPI:1316782774
Name:BULLINGER, EMILY JANE (DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JANE
Last Name:BULLINGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 S WAVERLY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-4300
Mailing Address - Country:US
Mailing Address - Phone:517-367-7851
Mailing Address - Fax:517-367-7857
Practice Address - Street 1:1701 S WAVERLY RD STE 101
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-4300
Practice Address - Country:US
Practice Address - Phone:517-367-7851
Practice Address - Fax:517-367-7857
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist