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

Mrs. Amanda Dianne Gough, MS, ATC

Individual provider Athletic Trainer · NPI 1710213178

Mrs. Amanda Dianne Gough, MS, ATC is an Athletic Trainer in Charleston, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

25 W Lincoln Ave
Charleston, IL 61920-3070
Phone: (217) 345-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.002672 (IL)

Record details

NPI number1710213178
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedOctober 20, 2009
Last updated in NPPESOctober 20, 2009

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