Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 02083 | MO |
NPI | 1003123423 |
---|---|
Provider Name | Mrs. Piper L Palmer |
First Address | Kansas City, MO 64152-4616 |
Second Address | Clayton, MO 63105-1817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2010 |
Last Update Date | 07/09/2010 |