Provider Demographics
NPI:1194580878
Name:STRENGTH IN BLOOM PHYSICAL THERAPY AND WELLNESS, PLLC
Entity type:Organization
Organization Name:STRENGTH IN BLOOM PHYSICAL THERAPY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:NICOLE AGUERO
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:563-260-6018
Mailing Address - Street 1:2057 MISSISSIPPI VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-8326
Mailing Address - Country:US
Mailing Address - Phone:563-260-6018
Mailing Address - Fax:
Practice Address - Street 1:2057 MISSISSIPPI VIEW DR
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-8326
Practice Address - Country:US
Practice Address - Phone:563-260-6018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy