NPI 1285041921

Michael Doersch, LATATC

Practitioner Athletic Trainer Palm Coast, FL

Practice location

Address: 3535 Pirate Nation Way, Palm Coast, FL 32137-9203
Phone: (920) 660-2536
Mailing address: 1526 S Boundary St, Deland, FL 32720-8420

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL6971 (FL)

Other Specialist/Technologist providers in Florida →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1597-39 (WI)

Registry record

NPI: 1285041921
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2014
Record last updated: 24 Jul 2023

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.