Thomas Blum

NPI #1144038381 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1144038381
Entity Type: Individual
Name: Thomas Blum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 19, 2024
Last Updated: Oct 22, 2025

Practice Location

Address: N8679 LAKESHORE DR
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54937-1727
Phone: (630) 504-9605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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