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General NPI Number Information
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NPI Number | 1710840517
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Entity Type | Organization
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Legal Business Name | BLOOM CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 56 E MAIN ST STE 110
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City | MUNFORD
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State | TN
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Zip | 38058-6054
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Country | US
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Telephone | 859-358-5086
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Fax |
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Provider Business Mailing Address
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Address Line | 104 SMITHERS AVE
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City | ATOKA
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State | TN
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Zip | 38004-7485
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Country | US
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Telephone | 859-358-5086
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | LAUREN POSTON
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Credential | DC
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Telephone | 859-358-5086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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