Individual
HAILY DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5602 S NICHOLSON AVE, CUDAHY, WI 53110-2413
(414) 460-6502
Mailing address
5602 S NICHOLSON AVE, CUDAHY, WI 53110-2413
(414) 460-6502
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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