Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2021001951 | MO |
N | 225XG0600X | Occupational Therapist - Gerontology |
NPI | 1083202360 |
---|---|
Provider Name | Emily Katherine Harvey |
First Address | Richmond Heights, MO 63117-1362 |
Second Address | Richmond Heights, MO 63117-1362 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2021 |
Last Update Date | 29/01/2021 |