Provider Demographics
NPI:1083154843
Name:HARMONY PT AND WELLNESS
Entity type:Organization
Organization Name:HARMONY PT AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:POLIVICK
Authorized Official - Last Name:SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:270-873-7495
Mailing Address - Street 1:1507 KIRKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-3222
Mailing Address - Country:US
Mailing Address - Phone:270-873-7495
Mailing Address - Fax:
Practice Address - Street 1:1608 HIGHWAY 121 BYP N STE F
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-8911
Practice Address - Country:US
Practice Address - Phone:270-873-7495
Practice Address - Fax:800-806-4513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03902261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy