Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Speech & Neuro Rehab, LLC

Organization Hearing and Speech Clinic/Center · NPI 1730075474

Bloom Speech & Neuro Rehab, LLC is a Hearing and Speech Clinic/Center in Jenks, Oklahoma. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9422 S Elwood Ave Ste 100
Jenks, OK 74037-2317
Phone: (918) 869-6379
Fax: (918) 627-7896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13400 S Maple St, Glenpool, OK 74033-2310 — (918) 869-6379

Specialties & licences

Hearing and Speech Clinic/Center (primary) Taxonomy 261QH0700X

Record details

NPI number1730075474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashlie Nidiffer-Tull — Owner And Slp · (918) 869-6379
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address9422 S Elwood Ave Ste 100, Jenks, OK 74037-2317