Provider Demographics
NPI:1841037256
Name:HARVILLE, DENISE TAYLOR (PT)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:TAYLOR
Last Name:HARVILLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3228 ZENYATTA CT
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-1851
Mailing Address - Country:US
Mailing Address - Phone:972-838-6058
Mailing Address - Fax:
Practice Address - Street 1:2413 WINDMILL DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-0823
Practice Address - Country:US
Practice Address - Phone:972-994-6125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1185436225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist