Healthcare Provider Details

I. General information

NPI: 1043127988
Provider Name (Legal Business Name): BABY BLOSSOMS PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8116 RICHPINE DR
MURFREESBORO TN
37128-1000
US

IV. Provider business mailing address

8116 RICHPINE DR
MURFREESBORO TN
37128-1000
US

V. Phone/Fax

Practice location:
  • Phone: 989-878-1075
  • Fax:
Mailing address:
  • Phone: 989-878-1075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LYNN SMITH
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PT, DPT
Phone: 989-878-1075