Provider Demographics
NPI:1609524933
Name:HARVEY, AMBER (LMT,CIMT,CFMT)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:LMT,CIMT,CFMT
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:M
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT,CIMT,CFMT
Mailing Address - Street 1:3105 HAVER RD NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810-3258
Mailing Address - Country:US
Mailing Address - Phone:256-716-5774
Mailing Address - Fax:
Practice Address - Street 1:217 WALKER ST
Practice Address - Street 2:
Practice Address - City:GURLEY
Practice Address - State:AL
Practice Address - Zip Code:35748-8330
Practice Address - Country:US
Practice Address - Phone:256-716-5774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3663225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist