| Blomstra Therapy Services Llc | |
|
10704 Maximus St Woodway TX 76712-4402 | |
| (414) 520-6681 | |
| Not Available |
| Full Name | Blomstra Therapy Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10704 Maximus St, Woodway, Texas |
| Authorized Official Name and Position | Erin Mcginty Fort (OWNER, EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2542944811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blomstra Therapy Services Llc 10704 Maximus St Woodway TX 76712-4402 Ph: (414) 520-6681 | Blomstra Therapy Services Llc 10704 Maximus St Woodway TX 76712-4402 Ph: (414) 520-6681 |
| NPI Number | 1457079766 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457079766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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