| Jack Michael Bloom, DPT | |
|
10 Ros Cir, Republic, WA 99166-5002 | |
| (509) 775-8400 | |
| Not Available |
| Full Name | Jack Michael Bloom |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10 Ros Cir, Republic, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679492052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-08197 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Michael Bloom, DPT 730 Hockaday St, Council Grove, KS 66846-1814 Ph: (208) 691-7797 | Jack Michael Bloom, DPT 10 Ros Cir, Republic, WA 99166-5002 Ph: (509) 775-8400 |
Kelsey Krueger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Ros Cir, Republic, WA 99166 Phone: 509-775-8400 | |
Hannah Konen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Ros Cir, Republic, WA 99166 Phone: 509-779-0831 | |
Marsha Aguilar-snow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Ros Cir, Republic, WA 99166 Phone: 509-775-8400 | |
Amanda Jo Grumbach, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10 Ros Cir, Republic, WA 99166 Phone: 509-775-8400 Fax: 509-775-8401 |