Susanna Dani Electa Dougherty, CPM, LM, PCES
Susanna Dani Electa Dougherty, CPM, LM, PCES is an Athletic Trainer in Hilo, Hawaii. Practices as a sole proprietor. Licensed in Hawaii.
- Licensed in
- HI
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
40 Pohakulani StHilo, HI 96720-3116
Phone: (808) 990-0394
Fax: (888) 977-3122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Midwife (primary) | Taxonomy 176B00000X · Licence MW-9 (HI) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1518252634 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPM , LM , PCES |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2011 |
| Last updated in NPPES | November 22, 2021 |
| Certification date | November 22, 2021 |
Other providers in Hilo
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Dr. Myrtle H Miyamura, DMD
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-
Aya Morioka, MS, ATC
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-
MS. Deborah K Namohala, ATC, EMT
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-
Mr. Daniel Gabriel NA Hiku Renteria, ATC, LMT
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