Provider Demographics
NPI:1538733985
Name:DOUCHEY, MAYA (OT)
Entity type:Individual
Prefix:MS
First Name:MAYA
Middle Name:
Last Name:DOUCHEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10323 S 208TH AVE
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-4182
Mailing Address - Country:US
Mailing Address - Phone:402-709-0847
Mailing Address - Fax:
Practice Address - Street 1:10323 S 208TH AVE
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-4182
Practice Address - Country:US
Practice Address - Phone:402-709-0847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2525225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist