Basic Information
| Provider Information | |||||||||
| NPI: | 1558818849 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HARMON | ||||||||
| FirstName: | ZACHARY | ||||||||
| MiddleName: | DEAN | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1020 ROBBIE VW | ||||||||
| Address2: | APT 2126 | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809208227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9706917828 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3854 VILLAGE SEVEN RD | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809172801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195748761 | ||||||||
| FaxNumber: | 7195748236 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2016 | ||||||||
| LastUpdateDate: | 03/08/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | 0014353 | CO | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | 225100000X | PTL.0014353 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.