Organization
BLUE SKYES WELLNESS CENTER LLC
Active
Other names
Blue Skyes Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVONNA MARIE WILLIS ATC, LMT (OWNER)
(602) 845-9748
Entity
Organization
Contact information
Practice address
625 N GILBERT RD, SUITE 103, GILBERT, AZ 85234-3398
(602) 845-9748
Mailing address
625 N GILBERT RD, SUITE 103, GILBERT, AZ 85234-3398
(602) 845-9748
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2016
Last updated
11/13/2016
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