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SHANNON LACEY DOHERTY LAT, ATC
NPI 1972189470
Specialist/Technologist - Athletic Trainer in Diboll, TX

Active since March 23, 2021
1000 LUMBERJACK DR, DIBOLL, TX 75941(936) 829-5626 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Lacey Doherty Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON LACEY DOHERTY LAT, ATC (NPI 1972189470) is an individual athletic trainer provider in Diboll, Texas, licensed in Texas (AT8340) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1972189470
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSHANNON LACEY DOHERTYCredential: LAT, ATC
Location Address1000 LUMBERJACK DRDiboll, TX 75941-9701
Mailing Address2807 Daniel Mccall Dr Apt 223Lufkin, TX 75904-7151 · (303) 990-1945
Phone(936) 829-5626
Sole ProprietorNo
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1972189470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in TX · AT8340
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1000 LUMBERJACK DR, Diboll, TX 75941
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Doherty's NPI number?

The NPI number for Shannon Doherty is 1972189470. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Shannon Doherty located?

Shannon Doherty practices at 1000 Lumberjack Dr, Diboll, TX 75941. The listed phone number is (936) 829-5626.

What is Shannon Doherty's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Shannon Doherty was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.