Provider Demographics
NPI:1841807963
Name:PALMER, ABAGAIL (DC)
Entity type:Individual
Prefix:DR
First Name:ABAGAIL
Middle Name:
Last Name:PALMER
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 1:641 GREEN ACRES DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-2128
Mailing Address - Country:US
Mailing Address - Phone:937-716-4848
Mailing Address - Fax:
Practice Address - Street 1:8501 OLD TROY PIKE STE 190
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-1061
Practice Address - Country:US
Practice Address - Phone:937-233-4055
Practice Address - Fax:937-233-4077
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05245111N00000X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No374U00000XNursing Service Related ProvidersHome Health Aide