Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Lacey Doherty, LAT, ATC

Individual provider Athletic Trainer · NPI 1972189470

Shannon Lacey Doherty, LAT, ATC is an Athletic Trainer in Diboll, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1000 Lumberjack Dr
Diboll, TX 75941-9701
Phone: (936) 829-5626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT8340 (TX)

Record details

NPI number1972189470
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021