Healthcare Provider Details

I. General information

NPI: 1578546586
Provider Name (Legal Business Name): ERIC HARMON OTR/L, CHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N WASHINGTON AVE STE 150
COOKEVILLE TN
38501-2623
US

IV. Provider business mailing address

PO BOX 306556
NASHVILLE TN
37230-6556
US

V. Phone/Fax

Practice location:
  • Phone: 800-264-3762
  • Fax: 615-292-9469
Mailing address:
  • Phone: 615-329-2294
  • Fax: 615-695-1494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6318
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: