Provider Demographics
NPI:1992353320
Name:HARMON-MILLER, ANTHONY (BS, ATC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:HARMON-MILLER
Suffix:
Gender:M
Credentials:BS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 N RIVER ST
Mailing Address - Street 2:
Mailing Address - City:CITY OF WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-2404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:133 N RIVER ST
Practice Address - Street 2:
Practice Address - City:CITY OF WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-2404
Practice Address - Country:US
Practice Address - Phone:570-208-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program