=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023929577
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MRS. DAURA LEE PALMER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2026
-----------------------------------------------------
Last Update Date | 09/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2100 GARDEN RD STE B6C
-----------------------------------------------------
City | MONTEREY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93940-5316
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-224-3182
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1524 LUZERN ST
-----------------------------------------------------
City | SEASIDE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93955-5125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-224-3182
-----------------------------------------------------
Fax | 831-899-3353
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 18898
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------