Healthcare Provider Details

I. General information

NPI: 1497513758
Provider Name (Legal Business Name): MILESTONES THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 S 5TH ST
CHICKASHA OK
73018-3413
US

IV. Provider business mailing address

100 CAULDER DR
CHICKASHA OK
73018-7708
US

V. Phone/Fax

Practice location:
  • Phone: 405-320-8242
  • Fax:
Mailing address:
  • Phone: 405-339-7965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAMBER COVEY
Title or Position: OWNER
Credential: MS.,CCC-SLP
Phone: 405-654-3877