Individual
ALEXIS MARIE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E MAIN ST, PULLMAN, WA 99163-2677
(509) 339-8105
Mailing address
255 E MAIN ST, PULLMAN, WA 99163-2677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
04/04/2025
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