Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELSEY RAE GEORGE BLOOM, PT, DPT
ActiveMS. KELSEY RAE GEORGE BLOOM, PT, DPT is a Physical Therapy Assistant healthcare provider located in LIBERTYVILLE, Illinois. NPI 1184171696 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1184171696
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2016 (9.9295216984867 yrs)
- Last Updated
- May 17, 2022
- Licenses
-
13535-24 (WI)070.022615 (IL)
Practice Information
- Address
-
1585 N MILWAUKEE AVE STE 101LIBERTYVILLE, IL, 600481359Browse IL providers · Browse ZIP 60048
- Phone
- 8479187947
- Fax
- 8479189622
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in LIBERTYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CATHY FAYE GUNTHER | P.T. | 1861465122 |
| MARZENA M INMAN | DPT | 1710937438 |
| ELIZABETH CULVER | PT | 1376599498 |
| TARA BANICK | PT | 1972543171 |
| CAROL LYNN FREEMAN | PT | 1669412821 |
| ROBERT TOWLE | PT | 1043250210 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.