Provider Demographics
NPI:1609176353
Name:BARNES-DURKAY, RACHERYL LYNN (OTR)
Entity Type:Individual
Prefix:
First Name:RACHERYL
Middle Name:LYNN
Last Name:BARNES-DURKAY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 LAKESIDE DR APT 7208
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-5191
Mailing Address - Country:US
Mailing Address - Phone:325-656-4552
Mailing Address - Fax:
Practice Address - Street 1:155 LAKESIDE DR APT 7208
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5191
Practice Address - Country:US
Practice Address - Phone:325-656-4552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104707225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist