Organization
BLOOM PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA UTING DPT (CO-OWNER)
(608) 807-7531
Entity
Organization
Contact information
Practice address
N49W25234 SEVEN STONES DR, PEWAUKEE, WI 53072-1347
(608) 807-7531
Mailing address
N49W25234 SEVEN STONES DR, PEWAUKEE, WI 53072-1347
(608) 807-7531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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