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

Tracy Ann Daugherty, MS, ATC, PTA

Individual provider Physical Therapy Assistant · NPI 1427174226

Tracy Ann Daugherty, MS, ATC, PTA is a Physical Therapy Assistant in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

200 N Emerald Ln Ste 1A
Carbondale, IL 62901-2100
Phone: (618) 549-9449
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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)
Physical Therapy Assistant Taxonomy 225200000X (IL)

Record details

NPI number1427174226
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC , PTA
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESSeptember 11, 2025

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