Blooming Connections Pediatric Therapy Llc

Speech-Language Pathologist · Blaine, MN

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At a glance

3030 92Nd Ave Ne, Blaine, MN 55449-5624

NPPES record updated Feb 27, 2024. Public records can lag behind changes at a practice.

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Practice location

3030 92Nd Ave Ne
Blaine, MN 55449-5624

Professional details: NPI, taxonomy & registry record

NPI1306602248

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Registry details

Primary taxonomy: Speech-Language Pathologist
Taxonomy code: 235Z00000X
Enumeration date: Feb 27, 2024
Record updated: Feb 27, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3030 92Nd Ave Ne
Blaine, MN 55449-5624

Phone: (651) 269-5055

Mailing address

3030 92ND AVE NE

BLAINE, MN 554495624

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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