OrganizationActive
Blue Sky Therapeutics, LLC
NPI 1649452863 · Developmental Disabilities Clinic/Center · Park City, UT
Provider details
- NPI number
- 1649452863
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Kahn, Occupational Therapist(435) 659-1746
- License
- 6267199-4201 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1910 Prospector Ave
Suite 201
Park City, UT 84060-7211
Phone: (435) 659-1746
Approximate (ZIP-level) locationGet directions
Mailing address
4229 Southridge Ct
Park City, UT 84098-4704
Registry dates
- Enumerated
- 2007-11-29
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.