NPI 1053448456

Lisa Gay Witham, ATCLAT

Practitioner Athletic Trainer Londonderry, NH

Practice location

Address: 226 Rockingham Rd, Londonderry, NH 03053-2170
Phone: (603) 425-2989
Fax: (603) 425-2978
Mailing address: 101 Aspetuck Ave. Canterbury School, New Milford, NH 06776

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000280 (CT)

Other Specialist/Technologist providers in New Hampshire →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1247 (NH)

Other Counselor providers in New Hampshire →

Registry record

NPI: 1053448456
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2007
Record last updated: 23 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.