Healthcare Provider Details

I. General information

NPI: 1255691739
Provider Name (Legal Business Name): MICHELLE DIANE HARMON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 HARRISBURG RD
JONESBORO AR
72404-8729
US

IV. Provider business mailing address

3406 W COUNTY ROAD 246
MANILA AR
72442-9135
US

V. Phone/Fax

Practice location:
  • Phone: 870-933-4535
  • Fax:
Mailing address:
  • Phone: 870-520-9676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT3487
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: