Healthcare Provider Details

I. General information

NPI: 1235589821
Provider Name (Legal Business Name): HARMONY IN MOTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2016
Last Update Date: 06/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28461 ROSE VERVAIN DR
SPRING TX
77386-3939
US

IV. Provider business mailing address

28461 ROSE VERVAIN DR
SPRING TX
77386-3939
US

V. Phone/Fax

Practice location:
  • Phone: 281-916-1881
  • Fax: 281-916-1886
Mailing address:
  • Phone: 281-916-1881
  • Fax: 281-916-1886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: JARVON D GODLEY
Title or Position: OWNER/PROVIDER
Credential:
Phone: 281-916-1881