Stacie Renee Blom PT

NPI 1760571277 - Physical Therapist - 225100000X

NPI Details
NPI 1760571277
Gender Female
Enumeration Date 10/12/2006
Last Updated 05/22/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2450 RIVERSIDE AVE
MINNEAPOLIS MN, 55454-1450, US
Phone (612) 672-6000
Fax
Business Location
2450 RIVERSIDE AVE
MINNEAPOLIS MN, 55454-1450, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 5625
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According to our database, Stacie Renee Blom PT NPI is 1760571277, taxonomy code is 225100000X and license number is 5625, license state is located at Minnesota. Stacie Renee Blom PT physically located at 2450 Riverside Ave, Minneapolis MN, 55454-1450. NPI Number Stacie Renee Blom PT has the Individual type.

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1760571277 NPI number is provided on an as is basis without warranty of any kind. 1760571277 is maintained by the National Plan & Provider Enumeration System. The contents of Stacie Renee Blom PT are for informational purposes only.