Organization
BLUE SKYZ STILL WATERS
Active
Other names
Blue Skyz Still Waters
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L HAYNES LMT (OWNER)
(601) 383-4747
Entity
Organization
Contact information
Practice address
4270 ROBINSON ST, JACKSON, MS 39209-6517
(601) 383-4747
Mailing address
1917 WINGFIELD CIR, JACKSON, MS 39209-7129
(601) 383-4747
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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