Blue Sky Physical Therapy

LBN: Blue Sky Physical Therapy
Blue Sky Physical Therapy is an health care organization with primary practice located at 21600 Harper Ave , St Clr Shores MI 48080-2242. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Blue Sky Physical Therapy can be contacted via phone (678) 543-5635, or through White, Wendell via phone (785) 435-6356.

Contact Information

Primary practice address
21600 Harper Ave St Clr Shores MI 48080-2242
Phone: (678) 543-5635
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, Wendell
Phone: (785) 435-6356

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1902467152
LBN Legal business name Blue Sky Physical Therapy
DBA Doing business as
Authorized official White, Wendell
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2019
Last updated Jun 27th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902467152 NPPES
Michigan MEDICAID PENDING

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