JACK MICHAEL BLOOM

REPUBLIC, WA
NPI1679492052
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-08197)
Enumeration Date2026-07-10
Last Update Date2026-07-10
Business Address
JACK MICHAEL BLOOM DPT
10 ROS CIR
REPUBLIC, WA 99166-5002
Phone number: 509-775-8400
Mailing Address
JACK MICHAEL BLOOM DPT
730 HOCKADAY ST
COUNCIL GROVE, KS 66846-1814
Phone number: 208-691-7797
Similar providers in Republic, WA
AMANDA JO GRUMBACH
KELSEY KRUEGER
MARSHA AGUILAR-SNOW
HANNAH KONEN