Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Scott Davis, ATC, PTA

Individual provider Athletic Trainer · NPI 1245353325

Mr. Timothy Scott Davis, ATC, PTA is an Athletic Trainer in Du Quoin, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

900 N Washington St
Du Quoin, IL 62832-1230
Phone: (618) 542-2146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IL)

Record details

NPI number1245353325
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , PTA
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESJuly 8, 2007

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