Doctor Name: | DEANNA PALMER |
NPI Number: | 1891102471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | MT-12816 |
Business Practice Address: | 2127 E Baseline Rd 101 Tempe, AZ - 852831537 |
Business Phone Number: | 4803771226 |
Business Fax Number: | 4803771228 |
Mailing Address: | 2127 E Baseline Rd, 101 TEMPE |
State: | AZ |
Postal Code: | 852831537 |
Phone Number: | 4803771226 |
Fax Number: | 4803771228 |
NPI Enumeration Date: | 07/16/2014 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT-12816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |