Provider Demographics
NPI:1508030503
Name:PALMOUR, JEAN CLAIRE (LMT)
Entity Type:Individual
Prefix:MISS
First Name:JEAN
Middle Name:CLAIRE
Last Name:PALMOUR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:404 SOUTH FIFTH STREET
Mailing Address - Street 2:JJ & COMPANY SALON & SPA
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640
Mailing Address - Country:US
Mailing Address - Phone:864-306-3322
Mailing Address - Fax:
Practice Address - Street 1:404 SOUTH FIFTH STREET
Practice Address - Street 2:JJ & COMPANY SALON & SPA
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640
Practice Address - Country:US
Practice Address - Phone:864-306-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMAS5491225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist