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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON LACEY DOHERTY, LAT, ATC

Active

SHANNON LACEY DOHERTY, LAT, ATC is a Athletic Trainer healthcare provider located in DIBOLL, Texas. NPI 1972189470 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DIBOLL, TX

Registration Details

NPI Number
1972189470
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2021 (5.2092773337529 yrs)
Last Updated
Mar 23, 2021
License
AT8340 (TX)

Practice Information

Address
1000 LUMBERJACK DR
DIBOLL, TX, 759419701
Browse TX providers · Browse ZIP 75941
Phone
9368295626
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DIBOLL, TX

Name Credential NPI
KARINA ITZEL HERNANDEZ 1922966001
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.