Provider Demographics
NPI:1114159795
Name:HARMS, TOM
Entity Type:Individual
Prefix:MR
First Name:TOM
Middle Name:
Last Name:HARMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 SHELLY LN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-8117
Mailing Address - Country:US
Mailing Address - Phone:405-414-9500
Mailing Address - Fax:405-348-2438
Practice Address - Street 1:820 SHELLY LN
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-8117
Practice Address - Country:US
Practice Address - Phone:405-414-9500
Practice Address - Fax:405-348-2438
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist