MEDICARE: MRS. CAELI BRIANNA PALMER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	8369	TN
2	225XP0200X	Pediatric Occupational Therapist
3	225X00000X	Occupational Therapist	OT008083	GA

General Provider Information

NPI Number	:	1568039980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAELI BRIANNA PALMER OTR/L

Provider Business Mailing Address
First Line	:	5945 ASBERRY CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-4301
Country	:	US
Telephone Number	:	706-968-6541
Fax Number	:

Provider Business Practice Location Address
First Line	:	7135 CHARLOTTE PIKE STE 102
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5017
Country	:	US
Telephone Number	:	615-540-8334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2021
Last Update Date	:	12/16/2025

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