| NPI | 1255386165 |
|---|---|
| Former Name | STACEY L PALMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03366) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 110767) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-02-11 |