Bloom Pediatric Therapy

Speech-Language Pathologist · Glasgow, KY

Organization Active NPI

NPI number 1518558402

Practice location

722 Leslie Ave
Glasgow, KY 42141-2115
Phone
(270) 646-6393

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NPI record

NPI
1518558402
Entity type
Organization (Type 2)
Enumeration date
February 2, 2021
Last updated
February 9, 2021
Certified
February 9, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Authorized official

Name
Leslie Spillman, MS CCC SLP
Title
Owner
Phone
(270) 646-6393

About Bloom Pediatric Therapy

Bloom Pediatric Therapy is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 722 Leslie Ave, Glasgow, KY 42141-2115. The NPI number 1518558402 was assigned on February 2, 2021 and the record was last updated on February 9, 2021.

The authorized official for this organization is Leslie Spillman, MS CCC SLP, Owner.

Frequently asked questions

What is the NPI number of Bloom Pediatric Therapy?

The NPI number is 1518558402.

What is the phone number of Bloom Pediatric Therapy?

The phone number listed for the practice location is (270) 646-6393.

Where is Bloom Pediatric Therapy located?

722 Leslie Ave, Glasgow, KY 42141-2115.

What is the taxonomy code for Bloom Pediatric Therapy?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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