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

Tara Doherty

Individual provider Athletic Trainer · NPI 1962195305

Tara Doherty is an Athletic Trainer in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023

Practice location Address checks out

2090 Woodwinds Dr
Woodbury, MN 55125-2522
Phone: (651) 968-5201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3784 (MN)

Record details

NPI number1962195305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2023
Last updated in NPPESJune 16, 2024
Certification dateJune 16, 2024
Mailing address1845 Onacrest Ct, Maplewood, MN 55117-2329

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