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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY ANN DAUGHERTY, MS, ATC, PTA

Active

TRACY ANN DAUGHERTY, MS, ATC, PTA is a Athletic Trainer healthcare provider located in CARBONDALE, Illinois. NPI 1427174226 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CARBONDALE, IL

Registration Details

NPI Number
1427174226
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2007 (19.359862828184 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
200 N EMERALD LN STE 1A
CARBONDALE, IL, 629012100
Browse IL providers · Browse ZIP 62901
Phone
6185499449
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in CARBONDALE, IL

Name Credential NPI
MR. DONALD L HOWARD ATC, PTA 1588630594
MR. BRADLEY C. BRUSH A.T.C., C.S.C.S. 1013985613
MR. EDWARD BRENT THOMPSON ATC 1336117795
MS. DEBRA KAY FITZL ATC, LAT 1306806401
MS. ELIZABETH BROWN FEUTZ ATC, LAT,CSCS 1619937612
JOHN E MASSIE ATC, LAT 1043346372
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.