MEDICARE: HEATHER LEE BULINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	007300	KY

General Provider Information

NPI Number	:	1457870537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER LEE BULINGTON

Provider Business Mailing Address
First Line	:	13151 MAGISTERIAL DR STE 200
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-4103
Country	:	US
Telephone Number	:	502-587-1236
Fax Number	:	502-587-0318

Provider Business Practice Location Address
First Line	:	6768 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-3048
Country	:	US
Telephone Number	:	502-242-7770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2017
Last Update Date	:	01/08/2026

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Directions to “ HEATHER LEE BULINGTON ” Practice Location

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