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General NPI Number Information
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NPI Number | 1023909546
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Entity Type | Organization
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Legal Business Name | BALANCE AND BLOOM A WELLNESS COLLECTIVE PLLC
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 688 E MILLSAP RD STE 101
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3930
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Country | US
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Telephone | 479-466-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 109 SPRING ST STE 3
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City | SPRINGDALE
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State | AR
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Zip | 72764-4500
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Country | US
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Telephone | 479-466-3056
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY DANIELLE STRIEGLER MORRIS
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Credential | PT, DPT
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Telephone | 479-466-3056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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