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Jack Bloom, DPT
NPI 1679492052 · on the registry since 2026 · sole proprietor
Practice
- Address
- 10 Ros Cir
Republic, WA 99166 - Phone
- (509) 775-8400
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington