Organization
MILESTONE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARELI BOWDEN (CEO)
(785) 821-4928
Entity
Organization
Contact information
Practice address
954 BIG RIDGE RD, SPRING CITY, TN 37381-7607
(785) 821-4928
Mailing address
954 BIG RIDGE RD, SPRING CITY, TN 37381-7607
(785) 821-4928
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q102046
—
TN
Enumeration date
06/30/2025
Last updated
06/30/2025
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