Provider Demographics
NPI:1518497692
Name:WALKER, DACHIA ARNETT (BSN, RN, LPN, LMT)
Entity Type:Individual
Prefix:
First Name:DACHIA
Middle Name:ARNETT
Last Name:WALKER
Suffix:
Gender:F
Credentials:BSN, RN, LPN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 NICHOLAS ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-2918
Mailing Address - Country:US
Mailing Address - Phone:419-377-7821
Mailing Address - Fax:
Practice Address - Street 1:528 NICHOLAS ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-2918
Practice Address - Country:US
Practice Address - Phone:419-377-7821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH105440164W00000X
OH33.018177225700000X
OH514180163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty