Provider Demographics
NPI:1225925837
Name:PALMER, BRANDY JARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:JARIE
Last Name:PALMER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 GREENVIEW CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-9320
Mailing Address - Country:US
Mailing Address - Phone:216-906-3429
Mailing Address - Fax:
Practice Address - Street 1:14910 STATE ROUTE 58 STE 17A
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-9226
Practice Address - Country:US
Practice Address - Phone:440-574-0054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT013143225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist