Provider Demographics
NPI:1639472517
Name:PALMER, JAMES E (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:PALMER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S KING ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3010
Mailing Address - Country:US
Mailing Address - Phone:808-522-4603
Mailing Address - Fax:808-522-2346
Practice Address - Street 1:800 S KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3010
Practice Address - Country:US
Practice Address - Phone:808-522-4603
Practice Address - Fax:808-522-2346
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-553225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist