MRS. Amanda Dianne Gough MS, ATC

  • NPI 1710213178
According to our database, the NPI number for MRS. Amanda Dianne Gough MS, ATC is 1710213178 and activated since 14 years ago. MRS. Amanda Dianne Gough MS, ATC is an individual provider who specializes in Athletic Trainer, and the primary practice location is 25 W Lincoln Ave, Charleston, IL 61920. You can also contact MRS. Amanda Dianne Gough MS, ATC via telephone number is (217) 345-9600. Provider NPI information was last updated on 10/20/2009.

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Overview of MRS. Amanda Dianne Gough MS, ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/20/2009
  • Last updated: 10/20/2009

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 096.002672
  • License State: IL

Provider Mailing Address

  • Address: 125 W Jackson Ave
    Charleston, IL 61920
  • Phone: 618-562-2449
  • Fax:

Provider Practice Location

  • Address: 25 W Lincoln Ave
    Charleston, IL 61920
  • Phone: 217-345-9600
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 096.002672
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MRS. Amanda Dianne Gough MS, ATC?
  • A: The npi number for MRS. Amanda Dianne Gough MS, ATC is 1710213178.
  • Q: What are MRS. Amanda Dianne Gough MS, ATC's specialties?
  • A: MRS. Amanda Dianne Gough MS, ATC's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for MRS. Amanda Dianne Gough MS, ATC?
  • A: The medical license number for MRS. Amanda Dianne Gough MS, ATC is 096.002672 and issued in IL in USA.
  • Q: Where is MRS. Amanda Dianne Gough MS, ATC practice location?
  • A: MRS. Amanda Dianne Gough MS, ATC is practicing at 25 W Lincoln Ave, Charleston, IL 61920.
  • Q: How to contact MRS. Amanda Dianne Gough MS, ATC?
  • A: You can contact MRS. Amanda Dianne Gough MS, ATC via 217-345-9600.
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