IndividualActive
Jaimie Doherty, ATC
NPI 1063846517 · Athletic Trainer · Halifax, MA
Provider details
- NPI number
- 1063846517
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2303 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
47 Colby Dr
Halifax, MA 02338-1002
Phone: (617) 797-9136
Approximate (ZIP-level) locationGet directions
Mailing address
47 Colby Dr
Halifax, MA 02338-1002
Registry dates
- Enumerated
- 2013-09-02
- Last updated
- 2013-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.