Provider Demographics
NPI:1437020252
Name:BLOOM YOGA THERAPY
Entity type:Organization
Organization Name:BLOOM YOGA THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, C-IAYT, ERYT-500
Authorized Official - Phone:954-663-2692
Mailing Address - Street 1:2517 N 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1815
Mailing Address - Country:US
Mailing Address - Phone:954-663-2692
Mailing Address - Fax:
Practice Address - Street 1:2 OAKWOOD BLVD STE 163
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1961
Practice Address - Country:US
Practice Address - Phone:954-663-2692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty