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Michael Doherty, ATC, LAT, DPT
NPI 1730616574 · on the registry since 2017 · sole proprietor
Practice
- Address
- 10133 Devonshire Ln
Munster, IN 46321 - Phone
- (219) 381-1861
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana