Wellformed AI

NPI 1184465684 · live from the CMS NPI Registry

Bloom Holistic Bodywork

Massage Therapist in Raleigh, NC. National Provider Identifier 1184465684, active.

NPI record

NPI1184465684 Type 2 · organization
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location1215 Jones Franklin Rd, Raleigh, NC 27606
Practice phone919-780-4188
Mailing address1100 Open Field Dr, Garner, NC 27529
EnumeratedJune 6, 2024
Last updatedJune 6, 2024
Authorized officialErin Benson, Licensed Massage Therapist

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.