Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TY BLOOM
ActiveTY BLOOM is a Occupational Therapist healthcare provider located in BOSCOBEL, Wisconsin. NPI 1588336952 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BOSCOBEL, WI
Registration Details
- NPI Number
- 1588336952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2021 (4.8270140481704 yrs)
- Last Updated
- Oct 4, 2021
- License
-
3227-19 (WI)
Practice Information
- Address
-
207 PARKER STBOSCOBEL, WI, 538051642Browse WI providers · Browse ZIP 53805
- Phone
- 6083756342
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BOSCOBEL, WI
| Name | Credential | NPI |
|---|---|---|
| JEAN M STRAKA | PTA | 1467601260 |
| MR. GALTON BARKER | PTA | 1962834382 |
| ANDREW BENDER | — | 1689088486 |
| LINDSEY LUND | PTA | 1881141612 |
| BRANDII CABRERA | — | 1952913899 |
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.