THEA M BLOM PT NPI 1619109295

NPI Information

NPI: 1619109295
Provider Name: THEA M BLOM, PT
Classification: Physical Therapist - 2251H1200X
Entity Type: Individual

Specialization: Hand

Address:
1111 LEFFINGWELL AVE NE
SUITE 200
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 459-7101
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Thea M Blom, PT is a hand physical therapist in Grand Rapids, MI. Thea M Blom, PT NPI is 1619109295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 LEFFINGWELL AVE NE
SUITE 200
GRAND RAPIDS, MI
ZIP 49525-406
Phone: (616) 459-7101

The enumeration date for this NPI number is 8/17/2009 and was last updated on 9/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251H1200X	Physical Therapist	Hand	5501002432	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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