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MRS. AMANDA DIANNE GOUGH MS, ATC
NPI 1710213178
Specialist/Technologist - Athletic Trainer in Charleston, IL

Active since October 20, 2009
25 W LINCOLN AVE, CHARLESTON, IL 61920(217) 345-9600 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Amanda Dianne Gough Ms, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA DIANNE GOUGH MS, ATC (NPI 1710213178) is an individual athletic trainer provider in Charleston, Illinois, licensed in Illinois (096.002672) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1710213178
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. AMANDA DIANNE GOUGHCredential: MS, ATC
Location Address25 W LINCOLN AVECharleston, IL 61920-3070
Mailing Address125 W Jackson AveCharleston, IL 61920-1814 · (618) 562-2449
Phone(217) 345-9600
Sole ProprietorNo
Enumeration DateOctober 20, 2009
✔ NPI 1710213178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in IL · 096.002672
Definition
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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
25 W LINCOLN AVE, Charleston, IL 61920
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES L SCHUSTER D.C.
Chiropractor
25 W LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 345-9600
BACK TO HEALTH PHYSICIANS GROUP LTD
Chiropractor
25 W LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 345-9600
JANET L BAKER RN
Registered Nurse (General Practice)
25 W LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 345-9600
SHELBY BREWER
Nurse Practitioner
25 W LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 345-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Gough's NPI number?

The NPI number for Amanda Gough is 1710213178. It was assigned to this individual provider in the NPPES registry on October 20, 2009.

Where is Amanda Gough located?

Amanda Gough practices at 25 W Lincoln Ave, Charleston, IL 61920. The listed phone number is (217) 345-9600.

What is Amanda Gough's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Amanda Gough was last updated on October 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.