# BLUE SKY THERAPEUTICS, LLC

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

## Provider details

- **NPI number:** 1649452863
- **Authorized official:** JESSICA KAHN MSOT (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (435) 659-1746

## Contact information

- **Practice address:** 1910 PROSPECTOR AVE, SUITE 201, PARK CITY, UT 84060-7211
- **Practice address phone:** (435) 659-1746
- **Mailing address:** 4229 SOUTHRIDGE CT, PARK CITY, UT 84098-4704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | 6267199-4201 | UT | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 06/16/2008