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

Tyler Doughty

Individual provider Physical Therapy Assistant · NPI 1467869990

Tyler Doughty is a Physical Therapy Assistant in Mattoon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

1213 Annis Ave
Mattoon, IL 61938-6016
Phone: (217) 246-7963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.006046 (IL)

Record details

NPI number1467869990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2014
Last updated in NPPESJuly 16, 2014

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