TRACY DAUGHERTY, MS, ATC, PTA

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1427174226

Practice Address

200 N EMERALD LN STE 1A
Carbondale, IL 62901

Phone: (618) 549-9449

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X No -
Specialist/Technologist - Athletic Trainer 2255A2300X Yes -

Frequently Asked Questions

NPI 1427174226 is the National Provider Identifier for TRACY DAUGHERTY, MS, ATC, PTA, a Specialist/Technologist - Athletic Trainer provider located in Carbondale, IL. This NPI was enumerated on March 22, 2007.
TRACY DAUGHERTY, MS, ATC, PTA practices at 200 N EMERALD LN STE 1A, Carbondale, IL 62901.

Quick Facts

NPI
1427174226
Type
Individual
Enumerated
Mar 22, 2007
Last Updated
Sep 11, 2025

Nearby Providers