Individual provider · Type 1 NPI

Kyra L. Bloom, LMT

Massage Therapist · Bowling Green, OH

NPI number 1790255164 Active

Practice location

536 Pearl St
Bowling Green, OH 43402-2780

Fax (419) 352-8947

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X33.023053 (OH)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1790255164

Kyra L. Bloom, LMT's National Provider Identifier is 1790255164, issued on Nov 28, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bowling Green, OH. The record was last updated on Nov 28, 2018.