Bloom Physical Therapy and Wellness LLC

NPI #1649855230 in Mahtomedi, Minnesota

Provider Information

NPI Number: 1649855230
Entity Type: Organization
Organization Name: Bloom Physical Therapy and Wellness LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 15, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 270 72ND ST N
City: Mahtomedi
State: Minnesota
ZIP Code: 55115-2079
Phone: (651) 497-6997

Authorized Official

Name: JESSICA R BLAISDELL, DPT
Title: PHYSICAL THERAPIST
Phone: (651) 395-7686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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