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

Ty Bloom

Individual provider Physical Therapy Assistant · NPI 1588336952

Ty Bloom is a Physical Therapy Assistant in Boscobel, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
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Practice location Address checks out

207 Parker St
Boscobel, WI 53805-1642
Phone: (608) 375-6342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3227-19 (WI)

Record details

NPI number1588336952
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address207 Parker St, Boscobel, WI 53805-1642

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