Healthcare Provider Details

I. General information

NPI: 1285547844
Provider Name (Legal Business Name): ANDREW THOMAS PALMER RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13351 E FRANCO PL
TUCSON AZ
85747-0059
US

IV. Provider business mailing address

13351 E FRANCO PL
TUCSON AZ
85747-0059
US

V. Phone/Fax

Practice location:
  • Phone: 520-490-6953
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM1400X
TaxonomyNurse Massage Therapist (NMT)
License Number22690
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: