Provider Demographics
NPI:1073309316
Name:ROBINSON, HARMONY PHOENIX (LMT)
Entity type:Individual
Prefix:
First Name:HARMONY
Middle Name:PHOENIX
Last Name:ROBINSON
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 SOLUTIONS CENTER LOCKBOX #773401
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-0001
Mailing Address - Country:US
Mailing Address - Phone:606-644-5747
Mailing Address - Fax:606-326-0114
Practice Address - Street 1:455 ARMCO RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7370
Practice Address - Country:US
Practice Address - Phone:606-644-5747
Practice Address - Fax:606-326-0114
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY297310225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist