Tracy Daugherty, MS, ATC, PTA

NPI 1427174226 · on the registry since 2007

Practice

Address: 200 N Emerald Ln Ste 1a
Carbondale, IL 62901
Phone: (618) 549-9449
Organisation at this address: Rehab Innovations Llc
Centerstone Of Illinois, Inc
Planned Parenthood Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Also registered as: 225200000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois