Provider Demographics
NPI:1154165025
Name:BLUE SKIES AND TAILWINDS PLLC
Entity type:Organization
Organization Name:BLUE SKIES AND TAILWINDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:651-699-6229
Mailing Address - Street 1:4447 PRESTON LN
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2807
Mailing Address - Country:US
Mailing Address - Phone:651-699-6229
Mailing Address - Fax:
Practice Address - Street 1:4447 PRESTON LN
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2807
Practice Address - Country:US
Practice Address - Phone:651-699-6229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health