Bloom Wellness Center, LLC

Organization Active NPI Acupuncturist · Albuquerque, NM

NPI 1497124705 · NPPES record last updated Sep 16, 2015

Key facts

NPI
1497124705
Entity type
Organization (NPI type 2)
Primary specialty
Acupuncturist 171100000X
License
1057 (NM)
Legal business name
BLOOM WELLNESS CENTER, LLC
Practice address
9798 Coors Blvd NW
BLDG C Suite 101
Albuquerque, NM 87114-6131
Phone
(505) 639-5147
Fax
(505) 639-4153
NPI assigned
Sep 16, 2015
Organization subpart
No

Authorized official

Name
Heather Jones, DOM
Title
President/Owner
Phone
(505) 400-1520

National Provider Directory

Locations

9798 Coors Blvd NW
Bldg C
Albuquerque, NM 87114
Phone (505) 363-9232

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist
Group: 193200000X MULTI-SPECIALTY GROUP
171100000X 1057 NM Yes
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X

Addresses

Primary practice location

9798 Coors Blvd NW
BLDG C Suite 101
Albuquerque, NM 87114-6131

Mailing address

9798 Coors Blvd NW
BLDG C Suite 101
Albuquerque, NM 87114-6131

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Acupuncturist in New Mexico

Sources for this page

Verify at the official NPI Registry.