Organization
BLOOM & ASSOCIATES THERAPY P A
Active
Parent organization
BLOOM & ASSOCIATES THERAPY PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOOM & ASSOCIATES THERAPY PA
Authorized official
MRS. CAROLYN L BLOOM P.T. (OWNER PHYSICAL THERAPIST)
(785) 273-7700
Entity
Organization
Contact information
Practice address
924 LOCUST ST, EUDORA, KS 66025-9599
(785) 542-3333
(785) 542-3330
Mailing address
4035 SW 10TH AVE, TOPEKA, KS 66604-1916
(785) 273-7700
(785) 273-7551
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115077
BCBS PROVIDER NUMBER
KS
01
—
35580011
BCBS PROVIDER NUMBER
MO
Enumeration date
12/09/2005
Last updated
05/01/2014
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