Provider Demographics
NPI:1386336378
Name:PALMS EXPRESS LLC
Entity type:Organization
Organization Name:PALMS EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ERROL
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:LEGIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:985-697-5135
Mailing Address - Street 1:610 BROWNSWITCH RD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1234
Mailing Address - Country:US
Mailing Address - Phone:985-607-5135
Mailing Address - Fax:
Practice Address - Street 1:610 BROWNSWITCH RD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-1234
Practice Address - Country:US
Practice Address - Phone:985-607-5135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty