Bloom, Jody Lee
Bloom, Jody Lee is an individual health care provider with primary practice located at 501 E Nicollet Blvd Ste 100 , Burnsville MN 55337-6772. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bloom, Jody Lee can be contacted via phone (952) 460-4900.Contact Information
Primary practice address
501 E Nicollet Blvd Ste 100
Burnsville MN 55337-6772
Phone: (952) 460-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X |
Profile Details
| NPI number | 1598955213 |
|---|---|
| LBN Legal business name | Bloom, Jody Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Jul 30th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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