Full Bloom Functional Health LLC
Clinic/Center, Multi-Specialty in Palmer, Massachusetts
1558205203- Practice location
- 1207 S Main St Ste 1, Palmer, MA 01069-1897
- Phone
- 413-200-2808
- Fax
- —
- Last updated
- April 15, 2026
Full Bloom Functional Health LLC is a healthcare organization based in Palmer, MA. Full Bloom Functional Health LLC practices in Palmer, MA. The NPI Number for Full Bloom Functional Health LLC is 1558205203. The current practice location address for Full Bloom Functional Health LLC is 1207 S Main St Ste 1, Palmer, MA 01069-1897 and can be reached out via phone at 413-200-2808.
Provider Profile Details
- NPI Number
- 1558205203
- Provider Name
- Full Bloom Functional Health LLC
- Provider Entity Type
- Organization
- Address
- 1207 S Main St Ste 1, Palmer, MA 01069-1897
- Phone Number
- 413-200-2808
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Shaina Labonte · Owner · 413-200-2808
- Provider Enumeration Date
- April 15, 2026
- Last Update Date
- April 15, 2026
- Certification Date
- April 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1207 S Main St Ste 1
Palmer, MA 01069-1897 - City
- Palmer
- State
- Massachusetts
- Zip
- 01069-1897
- Phone Number
- 413-200-2808
Provider Business Mailing Address Details
- Address
- 1207 S Main St Ste 1
Palmer, MA 01069-1897 - City
- Palmer
- State
- MA
- Zip
- 01069-1897
License Information
- Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Full Bloom Functional Health LLC?
The NPI number of Full Bloom Functional Health LLC is 1558205203. It was assigned on April 15, 2026 and is currently active in the NPPES registry.
What is the specialty of Full Bloom Functional Health LLC?
Full Bloom Functional Health LLC is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).
Where does Full Bloom Functional Health LLC practice?
The practice location is 1207 S Main St Ste 1, Palmer, MA 01069-1897. The office can be reached at 413-200-2808 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558205203 directly on the NPPES registry website.