Organization
BLUE SKIES PHYSICAL THERAPY
Active
Other names
Blue Skies Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY N GRIEGER PT, EMT (OWNER, PHYSICAL THERAPIST, EMT-B)
(702) 904-0178
Entity
Organization
Contact information
Practice address
20701 CEREAL ST, SKYDIVE ELSINORE, TEAM ROOM 8, LAKE ELSINORE, CA 92530-9253
(702) 904-0178
Mailing address
24375 JACKSON AVE APT N308, MURRIETA, CA 92562-1916
(702) 904-0178
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
2251S0007X
Sports Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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