Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS LISA GAY WITHAM, ATC, LAT
ActiveAthletic Trainer · LONDONDERRY, NH
Registration Details
- NPI Number
- 1053448456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2007 (19.146720992519 yrs)
- Last Updated
- Dec 23, 2020
- Licenses
-
1247 (NH)000280 (CT)
Practice Information
- Address
-
226 ROCKINGHAM RDLONDONDERRY, NH, 030532170Browse NH providers · Browse ZIP 03053
- Phone
- 6034252989
- Fax
- 6034252978
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in LONDONDERRY, NH
| Name | Credential | NPI |
|---|---|---|
| MICHELLE HART-MILLER | ATC, CSCS | 1710006721 |
| STEPHANIE CLARK | ATC, LAT | 1336486026 |
| GORDON PAN | ATC | 1740884634 |
| MRS. MEGHAN ELIZABETH POWERS | ATC | 1003404351 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.