Bloom Center For Pediatric Therapy, Llc

LBN: Bloom Center For Pediatric Therapy, Llc
Bloom Center For Pediatric Therapy, Llc is an health care organization with primary practice located at 7677 W Portneuf Rd , Pocatello ID 83204-7336. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Bloom Center For Pediatric Therapy, Llc can be contacted via phone (208) 604-6260, or through Lance, Michelle Lee via phone (208) 604-6260.

Contact Information

Primary practice address
7677 W Portneuf Rd Pocatello ID 83204-7336
Phone: (208) 604-6260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lance, Michelle Lee M.S. CCC-SLP
Phone: (208) 604-6260

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-2171 Idaho

Profile Details

NPI number 1215397666
LBN Legal business name Bloom Center For Pediatric Therapy, Llc
DBA Doing business as
Authorized official Lance, Michelle Lee M.S. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2016
Last updated Apr 16th, 2026 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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