Individual provider · Type 1 NPI

Amanda Dianne Gough, MS, ATC

Athletic Trainer · Charleston, IL

NPI number 1710213178 Active

Practice location

25 W Lincoln Ave
Charleston, IL 61920-3070

Call (217) 345-9600 Map

Mailing address

125 W Jackson Ave
Charleston, IL 61920-1814

Specialties and licenses

Taxonomy	Code	License
Athletic Trainer Primary	2255A2300X	096.002672 (IL)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1710213178

Amanda Dianne Gough, MS, ATC's National Provider Identifier is 1710213178, issued on Oct 20, 2009. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Charleston, IL. The record was last updated on Oct 20, 2009.