Provider Demographics
NPI:1083176739
Name:PALMER, DARCY LOU (LMT)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:LOU
Last Name:PALMER
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 1:2306 W SAINT THOMAS MORE WAY
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-8252
Mailing Address - Country:US
Mailing Address - Phone:509-869-4787
Mailing Address - Fax:
Practice Address - Street 1:2306 W SAINT THOMAS MORE WAY
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-8252
Practice Address - Country:US
Practice Address - Phone:509-869-4787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist