Individual
DANA L BLOMSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1313675
TX
225100000X
Physical Therapist
13426
CO
225100000X
Physical Therapist
1583
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1583
LICENSE
WY
Enumeration date
07/06/2015
Last updated
06/04/2025
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