Organization
BLUE SKY THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE FREEMAN (CFO)
(810) 652-6315
Entity
Organization
Contact information
Practice address
3058 N STATE RD STE E, DAVISON, MI 48423-3508
(810) 652-6315
(810) 652-6213
Mailing address
3058 N STATE RD STE E, DAVISON, MI 48423-3508
(810) 652-6315
(810) 652-6213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
52011003946
MI
251E00000X
Home Health Agency
7501002698
MI
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
09/05/2023
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