NPI | 1548702111 |
---|---|
Doing Business As | BLUE SKYES WELLNESS |
Entity Type | Organization |
Authorized Contact | DAVONNA MARIE WILLIS Owner 602-845-9748 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2016-11-13 |
Last Update Date | 2016-11-13 |