Provider Demographics
NPI:1063623429
Name:VARNEY, AARON C (OT)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:C
Last Name:VARNEY
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 9TH AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632
Mailing Address - Country:US
Mailing Address - Phone:360-578-1188
Mailing Address - Fax:360-578-6251
Practice Address - Street 1:625 9TH AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632
Practice Address - Country:US
Practice Address - Phone:360-578-1188
Practice Address - Fax:360-578-6251
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00004466225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA221321OtherDEPARTMENT OF LABOR AND I