# EXCELSERV PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104133180
- **Authorized official:** MR. MICHAEL EUGENE PALMIERI PT (PRESIDENT)
- **Authorized official phone:** (435) 817-8100

## Contact information

- **Practice address:** 340 SNOW CANYON DR, \# 15, IVINS, UT 84738-6495
- **Practice address phone:** (435) 817-8100
- **Mailing address:** 340 SNOW CANYON DR, \# 15, IVINS, UT 84738-6495
- **Mailing address phone:** (435) 817-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1744 | NV | — |
| 225100000X | Physical Therapist | 372070-2401 | UT | Yes |
| 225100000X | Physical Therapist | 5062 | AZ | — |

## Other

- **Enumeration date:** 09/11/2010
- **Last updated:** 09/11/2010