Provider Demographics
NPI:1962720532
Name:MILESTONES, LLC
Entity type:Organization
Organization Name:MILESTONES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODELL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-331-2632
Mailing Address - Street 1:260 COTTONWOOD PASS RD
Mailing Address - Street 2:
Mailing Address - City:GYPSUM
Mailing Address - State:CO
Mailing Address - Zip Code:81637-9709
Mailing Address - Country:US
Mailing Address - Phone:970-331-2632
Mailing Address - Fax:970-328-4472
Practice Address - Street 1:260 COTTONWOOD PASS RD
Practice Address - Street 2:
Practice Address - City:GYPSUM
Practice Address - State:CO
Practice Address - Zip Code:81637-9709
Practice Address - Country:US
Practice Address - Phone:970-331-2632
Practice Address - Fax:970-328-4472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6546261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy