Provider Demographics
NPI:1306241088
Name:HARMON, JUDITH ANNE (LMT)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANNE
Last Name:HARMON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 MENDON RD
Mailing Address - Street 2:ALL ABOUT YOU WELLNESS, SUITE 32
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-3842
Mailing Address - Country:US
Mailing Address - Phone:401-996-7653
Mailing Address - Fax:
Practice Address - Street 1:2180 MENDON RD
Practice Address - Street 2:ALL ABOUT YOU WELLNESS, SUITE 32
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-3842
Practice Address - Country:US
Practice Address - Phone:401-996-7653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMT00887172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist