Healthcare Provider Details

I. General information

NPI: 1538707278
Provider Name (Legal Business Name): MACY LEE HARNISCH DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MACY LEE SCHWARTZ

II. Dates (important events)

Enumeration Date: 12/12/2019
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16611 S 40TH ST STE 130
PHOENIX AZ
85048-0564
US

IV. Provider business mailing address

14287 N 87TH ST STE 220
SCOTTSDALE AZ
85260-3698
US

V. Phone/Fax

Practice location:
  • Phone: 480-706-1199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP062384T
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number045395
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: