Provider Demographics
NPI:1346765435
Name:HARMON, CINDY GAY (PT)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:GAY
Last Name:HARMON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4813 SHOAL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-6826
Mailing Address - Country:US
Mailing Address - Phone:501-313-0592
Mailing Address - Fax:903-793-0053
Practice Address - Street 1:4813 SHOAL CREEK DR
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72019-6826
Practice Address - Country:US
Practice Address - Phone:501-313-0592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist