Provider Demographics
NPI:1871838862
Name:DOCKERY, DARCY S (OT)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:S
Last Name:DOCKERY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:S
Other - Last Name:VARNUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:3801 KERN RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902
Mailing Address - Country:US
Mailing Address - Phone:509-574-3200
Mailing Address - Fax:509-574-3210
Practice Address - Street 1:3801 KERN RD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902
Practice Address - Country:US
Practice Address - Phone:509-574-3200
Practice Address - Fax:509-574-3210
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00003713225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist