Individual
MR. SCOTT E HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4030 LAKE CREEK DR N, WILSON, WY 83014-9689
(307) 734-5292
(307) 734-8834
Mailing address
PO BOX 1828, JACKSON, WY 83001-1828
(307) 374-5292
(307) 734-8834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-878
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314147
BLUE CROSS OF WY
—
Enumeration date
10/24/2006
Last updated
07/08/2007
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