Provider Demographics
NPI:1699262725
Name:PALMERI, JENNIFER L (PTA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:PALMERI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 N 700 W
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-9539
Mailing Address - Country:US
Mailing Address - Phone:317-797-9502
Mailing Address - Fax:
Practice Address - Street 1:8515 N 700 W
Practice Address - Street 2:
Practice Address - City:MCCORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46055-9539
Practice Address - Country:US
Practice Address - Phone:317-797-9502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-14
Last Update Date:2018-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant