Provider Demographics
NPI:1588802557
Name:BLUE SKIES PEDIATRIC THERAPY SERVICES
Entity Type:Organization
Organization Name:BLUE SKIES PEDIATRIC THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:406-652-3730
Mailing Address - Street 1:547 S 20TH ST W
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6445
Mailing Address - Country:US
Mailing Address - Phone:406-652-3730
Mailing Address - Fax:406-652-4913
Practice Address - Street 1:547 S 20TH ST W
Practice Address - Street 2:SUITE 3
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6445
Practice Address - Country:US
Practice Address - Phone:406-652-3730
Practice Address - Fax:406-652-4913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT947225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty