MEDICARE: MILEMARKERS THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP4317	AZ

General Provider Information

NPI Number	:	1649287327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILEMARKERS THERAPY INC

Provider Business Mailing Address
First Line	:	5601 HIGHWAY 95 N STE 308C
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86404-8546
Country	:	US
Telephone Number	:	928-854-5439
Fax Number	:	928-854-5440

Provider Business Practice Location Address
First Line	:	5601 HIGHWAY 95 N STE 308C
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86404-8546
Country	:	US
Telephone Number	:	928-854-5439
Fax Number	:	928-854-5440

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	COLLEEN LYNN MCSHEA
Credential	:	MS CCC-SLP
Telephone Number	:	928-854-5439

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	11/13/2025

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Directions to “MILEMARKERS THERAPY INC ” Practice Location

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