Provider Demographics
NPI:1891583589
Name:EMBODY HEALTH PLLC
Entity type:Organization
Organization Name:EMBODY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-320-9300
Mailing Address - Street 1:1717 DIXIE HWY STE 970
Mailing Address - Street 2:
Mailing Address - City:FT WRIGHT
Mailing Address - State:KY
Mailing Address - Zip Code:41011-2791
Mailing Address - Country:US
Mailing Address - Phone:859-320-9300
Mailing Address - Fax:859-320-9301
Practice Address - Street 1:1717 DIXIE HWY STE 970
Practice Address - Street 2:
Practice Address - City:FT WRIGHT
Practice Address - State:KY
Practice Address - Zip Code:41011-2791
Practice Address - Country:US
Practice Address - Phone:859-320-9300
Practice Address - Fax:859-320-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center