Provider Demographics
NPI:1952521957
Name:PALMER, JOSEPH (KINESIOTHERAPIST)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:PALMER
Suffix:
Gender:M
Credentials:KINESIOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 BRENTMOOR DR APT 116
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-2078
Mailing Address - Country:US
Mailing Address - Phone:919-227-2224
Mailing Address - Fax:919-227-2224
Practice Address - Street 1:118 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-2341
Practice Address - Country:US
Practice Address - Phone:919-546-8208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
226300000X
OH1106226300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist