Individual
JASON L. PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
501 W MARYLAND ST, INDIANAPOLIS, IN 46225-1041
(317) 269-3542
Mailing address
49 W BIRCH ST, CANTON, IL 61520-1238
(309) 647-1437
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96002019
IL
Other
Enumeration date
03/29/2006
Last updated
07/13/2026
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