Provider Demographics
NPI:1780607465
Name:HARMS, SCOTT M (PT)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:M
Last Name:HARMS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:608 NORMANDY DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2927
Mailing Address - Country:US
Mailing Address - Phone:319-325-8587
Mailing Address - Fax:319-625-3032
Practice Address - Street 1:2590 HOLIDAY RD STE 10
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2815
Practice Address - Country:US
Practice Address - Phone:319-625-3030
Practice Address - Fax:319-625-3032
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA03873208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation