Tracy Ann Daugherty, MS, ATC, PTA
NPI #1427174226 in Carbondale, Illinois
Provider Information
- NPI Number
- 1427174226
- Entity Type
- Individual
- Name
- Tracy Ann Daugherty, MS, ATC, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC, PTA
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 200 N EMERALD LN STE 1A
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-2100
- Phone
- (618) 549-9449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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