# BLUE SKY THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134666373
- **Authorized official:** MRS. DIANE FREEMAN (CFO)
- **Authorized official phone:** (810) 652-6315

## Contact information

- **Practice address:** 3058 N STATE RD STE E, DAVISON, MI 48423-3508
- **Practice address phone:** (810) 652-6315
- **Practice address fax:** (810) 652-6213
- **Mailing address:** 3058 N STATE RD STE E, DAVISON, MI 48423-3508
- **Mailing address phone:** (810) 652-6315
- **Mailing address fax:** (810) 652-6213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | 52011003946 | MI | — |
| 251E00000X | Home Health Agency | 7501002698 | MI | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2017
- **Last updated:** 09/05/2023