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Contact Information

BLOOM SPA THERAPY LLC
208 AIPORT PLAZA BLVD, SALONS BY JC
SUITE 11
FARMINGDALE, NY11735
 Phone: 347-306-6974
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for BLOOM SPA THERAPY LLC · (Female)

NPI # 1508620535
Status Active
Credentials
Entity Individual
Enumeration date 02/09/2024
Last updated 02/09/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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