RAELYN BULLOCK LMT NPI 1437055548

NPI Information

  • NPI: 1437055548
  • Provider Name: RAELYN BULLOCK, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1105 INDEPENDENCE DR
    WEST PLAINS, MO
    ZIP 65775
  • Phone: (417) 256-8888

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NPI Details

Raelyn Bullock, LMT is a massage therapist in West Plains, MO. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Raelyn Bullock, LMT NPI is 1437055548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1105 INDEPENDENCE DR
WEST PLAINS, MO
ZIP 65775-221
Phone: (417) 256-8888
Fax: (417) 255-0060

The enumeration date for this NPI number is 10/15/2026 and was last updated on 10/15/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist2026011180MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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