Organization · Type 2 NPI

Full Bloom Functional Health LLC

Multi-Specialty Clinic/Center · Palmer, MA

NPI number 1558205203 Active

Practice location

1207 S Main St Ste 1
Palmer, MA 01069-1897

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

About NPI 1558205203

Full Bloom Functional Health LLC's National Provider Identifier is 1558205203, issued on Apr 15, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Palmer, MA. The record was last updated on Apr 15, 2026.