Provider Demographics
NPI:1235238767
Name:SARCHET, PAIGE MARIE (OT)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:MARIE
Last Name:SARCHET
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 TOPEKA AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424
Mailing Address - Country:US
Mailing Address - Phone:806-792-7125
Mailing Address - Fax:806-792-7121
Practice Address - Street 1:1901 W LOOP 289
Practice Address - Street 2:STE 3
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407
Practice Address - Country:US
Practice Address - Phone:806-792-7125
Practice Address - Fax:806-792-7121
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109165225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T4652OtherBCBS
TX8D8724Medicare ID - Type Unspecified