MEDICARE: DENISE TAYLOR HARVILLE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1185436	TX

General Provider Information

NPI Number	:	1841037256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE TAYLOR HARVILLE PT

Provider Business Mailing Address
First Line	:	3228 ZENYATTA CT
Second Line	:
City	:	CELINA
State	:	TX
Zip	:	75009-1851
Country	:	US
Telephone Number	:	972-838-6058
Fax Number	:

Provider Business Practice Location Address
First Line	:	2413 WINDMILL DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-0823
Country	:	US
Telephone Number	:	972-994-6125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2024
Last Update Date	:	07/12/2024

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