Timothy Koba, ATC,CSCS,LMT,CMT

NPI #1578736799 in Ithaca, New York

Provider Information

NPI Number
1578736799
Entity Type
Individual
Name
Timothy Koba, ATC,CSCS,LMT,CMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC,CSCS,LMT,CMT
Enumeration Date
Apr 9, 2008
Last Updated
Apr 10, 2008

Practice Location

Address
310 TAUGHANNOCK BVLD
Address 2
SUITE 5A
City
Ithaca
ZIP Code
14850
Phone
(607) 252-3500

Specialties & Taxonomy Codes

Specialty
Massage Therapist
Specialist/Technologist - Athletic TrainerAthletic Trainer

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