Provider Demographics
NPI:1538377650
Name:DONAHOE, BELINDA C (ATC, LAT)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:C
Last Name:DONAHOE
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1485 N TURQUOISE DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-1398
Mailing Address - Country:US
Mailing Address - Phone:928-213-4914
Mailing Address - Fax:928-213-4911
Practice Address - Street 1:1485 N TURQUOISE DR
Practice Address - Street 2:SUITE 130
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-1398
Practice Address - Country:US
Practice Address - Phone:928-213-4914
Practice Address - Fax:928-213-4911
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07232255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer