Provider Demographics
NPI:1497768642
Name:PALMER, ALISON MARY (MCSP, OCS, CMPT)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:MARY
Last Name:PALMER
Suffix:
Gender:F
Credentials:MCSP, OCS, CMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3178
Mailing Address - Street 2:
Mailing Address - City:TELLURIDE
Mailing Address - State:CO
Mailing Address - Zip Code:81435-3178
Mailing Address - Country:US
Mailing Address - Phone:970-728-1888
Mailing Address - Fax:
Practice Address - Street 1:300 SOUTH MAHONEY DR. # C-1
Practice Address - Street 2:
Practice Address - City:TELLURIDE
Practice Address - State:CO
Practice Address - Zip Code:81435-3178
Practice Address - Country:US
Practice Address - Phone:970-728-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3816208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCD2313Medicare ID - Type Unspecified