# BLOOM NEURO PHYSICAL THERAPY AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134038631
- **Authorized official:** COURTNEY STEARS BOYLE PT, DPT, NCS (OWNER)
- **Authorized official phone:** (225) 485-4635

## Contact information

- **Practice address:** 24010 CLYDE COCKERHAM LN, DENHAM SPRINGS, LA 70726-7299
- **Practice address phone:** (225) 485-4635
- **Mailing address:** 24010 CLYDE COCKERHAM LN, DENHAM SPRINGS, LA 70726-7299
- **Mailing address phone:** (225) 485-4635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2026
- **Last updated:** 09/02/2026