OrganizationActive
Bloom Speech & Neuro Rehab, LLC
NPI 1730075474 · Hearing and Speech Clinic/Center · Jenks, OK
Provider details
- NPI number
- 1730075474
- Entity type
- Organization
- Primary specialty
- Hearing and Speech Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ashlie Nidiffer-Tull, Owner and Slp(918) 869-6379
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9422 S Elwood Ave Ste 100
Jenks, OK 74037-2317
Phone: (918) 869-6379
Fax: (918) 627-7896
Approximate (ZIP-level) locationGet directions
Mailing address
9422 S Elwood Ave Ste 100
Jenks, OK 74037-2317
Additional practice locations (1)
- 13400 S Maple StGlenpool, OK 74033-2310Phone: (918) 869-6379
Registry dates
- Enumerated
- 2025-06-17
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.