NPI 1760238869

Blue Skyz Still Waters

Organisation Massage Therapist Jackson, MS

Practice location

Address: 4270 Robinson St, Jackson, MS 39209-6517
Phone: (601) 383-4747
Mailing address: 1917 Wingfield Cir, Jackson, MS 39209-7129

Authorised official

Name: Matthew L Haynes
Title: Owner
Phone: (601) 383-4747

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1760238869
Entity type: Organization
NPI issued: 29 Apr 2024
Record last updated: 29 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.