Provider Demographics
NPI:1326291188
Name:HARMON, ANDY COLBY (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDY
Middle Name:COLBY
Last Name:HARMON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 FOUNTAIN CT
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-7572
Mailing Address - Country:US
Mailing Address - Phone:303-859-3400
Mailing Address - Fax:303-652-9202
Practice Address - Street 1:263 2ND AVE
Practice Address - Street 2:SUITE 100A
Practice Address - City:NIWOT
Practice Address - State:CO
Practice Address - Zip Code:80544
Practice Address - Country:US
Practice Address - Phone:303-652-9200
Practice Address - Fax:303-652-9202
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6024111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician