Organization
BLOOM PEDIATRIC SPEECH THERAPY
Active
Other names
Bloom Pediatric Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR LINDSAY SALVUCCI M.A., CCC-SLP (OWNER)
(303) 898-6451
Entity
Organization
Contact information
Practice address
11163 W 53RD DR, WHEAT RIDGE, CO 80033-6853
(303) 898-6451
Mailing address
11163 W 53RD DR, WHEAT RIDGE, CO 80033-6853
(303) 898-6451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000202488
—
CO
Enumeration date
11/29/2022
Last updated
05/21/2024
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