Organization
BLOOM CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ANN BLOOM D.C. (PRESIDENT)
(952) 894-6300
Entity
Organization
Contact information
Practice address
1606 CLIFF RD E, BURNSVILLE, MN 55337-1300
(952) 894-6300
(952) 894-2601
Mailing address
1606 CLIFF RD E, BURNSVILLE, MN 55337-1300
(952) 894-6300
(952) 894-2601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2077
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
706527200
—
MN
Enumeration date
03/27/2007
Last updated
06/21/2022
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