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Shannon Doherty, LAT, ATC

NPI 1972189470 · on the registry since 2021

Practice

Address
1000 Lumberjack Dr
Diboll, TX 75941
Phone
(936) 829-5626

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-23

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 Texas