Individual
CARRIE DOCHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC, LAT
Contact information
Practice address
1025 E 7TH ST, BLOOMINGTON, IN 47405-7109
(812) 856-6035
Mailing address
1635 N PRAIRIE GREEN CT, BLOOMINGTON, IN 47408-8701
(812) 325-8166
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001155A
IN
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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