Juanita Bloom is a Massage Therapist based in Molalla, OR. Juanita Bloom practices in Molalla, OR. The NPI Number for Juanita Bloom is 1700241197 and holds a License No. 20230 (Oregon).
The current practice location address for Juanita Bloom is 207 E Heintz St, Molalla, OR and can be reached out via phone at 503-960-6920.
Location: 207 E Heintz St, Molalla, OR, 97038-7324
Provider Profile Details
NPI Number
1700241197
Provider Name
Juanita Bloom
Credential
Provider Entity Type
Individual
Gender
Female
Address
207 E Heintz St, Molalla, OR, 97038-7324
Phone Number
503-960-6920
Fax Number
Provider Enumeration Date
12/29/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
207 E Heintz St
City
State
Zip
97038-7324
Phone Number
503-960-6920
Fax Number
Provider Business Mailing Address Details
Address
207 E Heintz St
City
State
Zip
97038-7324
Phone Number
503-960-6920
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
20230 (Oregon)
Definition
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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