Individual provider · Type 1 NPI

Timothy Koba, ATC, CSCS, LMT, CMT

Athletic Trainer · Ithaca, NY

NPI number 1578736799 Active

Practice location

310 Taughannock Bvld, Suite 5A
Ithaca, NY 14850

Mailing address

2145 Mecklenburg Rd, Apt 1
Ithaca, NY 14850-9378

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X019227 (NY)
Athletic Trainer Primary 2255A2300X001623-1 (NY)

Athletic Trainer: 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 advanc…

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About NPI 1578736799

Timothy Koba, ATC, CSCS, LMT, CMT's National Provider Identifier is 1578736799, issued on Apr 9, 2008. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Ithaca, NY. The record was last updated on Apr 10, 2008.