Individual
CAMIELLE LYNNE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-0707
(515) 727-8750
(515) 727-8757
Mailing address
5412 CODY DR, WEST DES MOINES, IA 50266
(515) 226-0778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02222
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58925
WELLMARK BCBS
IA
Enumeration date
05/17/2007
Last updated
07/08/2007
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