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Contact Information

KRISTY BLOOM, PT
2655 VILLA CREEK DR STE 140
DALLAS, TX75234-7385
 Phone: 972-800-9626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KRISTY BLOOM · (Female)

NPI # 1255952115
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/01/2020
Last updated 05/01/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1157647
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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