Provider Demographics
NPI:1790251379
Name:MILESTONE THERAPIES OF OK, LLC
Entity Type:Organization
Organization Name:MILESTONE THERAPIES OF OK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-990-0790
Mailing Address - Street 1:1063 HIDDEN OAKS WAY
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-5043
Mailing Address - Country:US
Mailing Address - Phone:405-990-0790
Mailing Address - Fax:
Practice Address - Street 1:1063 HIDDEN OAKS WAY
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-5043
Practice Address - Country:US
Practice Address - Phone:405-990-0790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty