Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA DIANNE GOUGH, MS, ATC
ActiveMRS. AMANDA DIANNE GOUGH, MS, ATC is a Athletic Trainer healthcare provider located in CHARLESTON, Illinois. NPI 1710213178 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CHARLESTON, IL
Registration Details
- NPI Number
- 1710213178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2009 (16.774889439551 yrs)
- Last Updated
- Oct 20, 2009
- License
-
096.002672 (IL)
Practice Information
- Address
-
25 W LINCOLN AVECHARLESTON, IL, 619203070Browse IL providers · Browse ZIP 61920
- Phone
- 2173459600
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CHARLESTON, IL
| Name | Credential | NPI |
|---|---|---|
| LEE ANN PRICE | ATC | 1659344240 |
| MRS. JENNIFER LYNN STASKIEWICZ | ATC | 1487774212 |
| GINGER CANDICE SOUTH | ATC | 1952529307 |
| MRS. TIFFANY LOUISE GREEN | ATC | 1558635219 |
| HEIDI J MCKEAN | ATC | 1770835027 |
| NATHAN DAVID SCHWARTZKOPF | ATC | 1104243385 |
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.