National Provider Identifier
Shelley Bloomquist
Shelley Bloomquist is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Warsaw, NY and a listed phone number of (585) 786-2233.
Profile Overview
- NPI
- 1356492110
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- January 16, 2007
- Last Updated
- January 29, 2009
Practice Location
- 400 North Main St.
- Wyoming County Community Hospital
- Warsaw, NY 14469
Phone: (585) 786-2233
Mailing Address
- 6083 Big Tree RD
- Livonia, NY 14487-9752
Specialties
- Physical Therapy Assistant (225200000X)
- Massage Therapist (225700000X)
Full Record
- NPI
- 1356492110
- Entity Type
- Individual
- Last Name
- Bloomquist
- First Name
- Shelley
- Mailing Street Address
- 6083 Big Tree RD
- Mailing City
- Livonia
- Mailing State
- NY
- Mailing ZIP Code
- 14487-9752
- Mailing Country
- US
- Mailing Phone
- (585) 346-6664
- Practice Street Address
- 400 North Main St.
- Practice Address Line 2
- Wyoming County Community Hospital
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14469
- Practice Country
- US
- Practice Phone
- (585) 786-2233
- Practice Fax
- (585) 786-1275
- Enumeration Date
- January 16, 2007
- Last Updated
- January 29, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X), Massage Therapist (225700000X)