MEDICARE: MR. JAMES E. PALMER P.T.

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	225100000X	Physical Therapist	PT-553	HI

General Provider Information

NPI Number	:	1639472517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES E. PALMER P.T.

Provider Business Mailing Address
First Line	:	800 S KING ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3010
Country	:	US
Telephone Number	:	808-522-4603
Fax Number	:	808-522-2346

Provider Business Practice Location Address
First Line	:	800 S KING ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3010
Country	:	US
Telephone Number	:	808-522-4603
Fax Number	:	808-522-2346

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

Provider Enumeration Date	:	12/14/2010
Last Update Date	:	12/14/2010

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Directions to “ MR. JAMES E. PALMER P.T.” Practice Location

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