Provider Demographics
NPI:1285510933
Name:HARMON, CAMMERON WAYNE
Entity type:Individual
Prefix:
First Name:CAMMERON
Middle Name:WAYNE
Last Name:HARMON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40702-0072
Mailing Address - Country:US
Mailing Address - Phone:606-521-7554
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 72
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40702-0072
Practice Address - Country:US
Practice Address - Phone:606-521-7554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist