Provider Demographics
NPI:1821862079
Name:PARMELEE, OLIVIA (DC)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:PARMELEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5717 MUIRFIELD DR SW UNIT 11
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-7388
Mailing Address - Country:US
Mailing Address - Phone:860-707-9096
Mailing Address - Fax:
Practice Address - Street 1:513 COURT ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:IA
Practice Address - Zip Code:52361-9429
Practice Address - Country:US
Practice Address - Phone:319-668-8196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA123300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor