Provider Demographics
NPI:1437784980
Name:SCHAFER, DARBY
Entity Type:Individual
Prefix:
First Name:DARBY
Middle Name:
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SOUTH 5TH STREET
Mailing Address - Street 2:MEZZANINE LEVEL
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002
Mailing Address - Country:US
Mailing Address - Phone:423-620-5200
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTH 5TH STREET
Practice Address - Street 2:MEZZANINE LEVEL
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-6600
Practice Address - Country:US
Practice Address - Phone:423-620-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist