Provider Demographics
NPI:1386859437
Name:MILBURN SERVICES, INC
Entity Type:Organization
Organization Name:MILBURN SERVICES, INC
Other - Org Name:STEP ONE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MEADOWS
Authorized Official - Last Name:MILBURN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:502-451-2142
Mailing Address - Street 1:5920 TIMBER RIDGE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-8151
Mailing Address - Country:US
Mailing Address - Phone:502-451-2142
Mailing Address - Fax:502-451-2740
Practice Address - Street 1:5920 TIMBER RIDGE DR STE 201
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-8151
Practice Address - Country:US
Practice Address - Phone:502-451-2142
Practice Address - Fax:502-451-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY19042251P0200X, 235Z00000X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1463OtherCBIS PROVIDER NUMBER