Provider Demographics
NPI:1225194897
Name:PALMER, DEIDREE GAIL (CNMT)
Entity Type:Individual
Prefix:MS
First Name:DEIDREE
Middle Name:GAIL
Last Name:PALMER
Suffix:
Gender:F
Credentials:CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 NORTH MAIN AVENUE
Mailing Address - Street 2:SUITE #260
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301
Mailing Address - Country:US
Mailing Address - Phone:970-382-0010
Mailing Address - Fax:
Practice Address - Street 1:1911 NORTH MAIN AVENUE
Practice Address - Street 2:SUITE 260
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301
Practice Address - Country:US
Practice Address - Phone:970-382-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist