Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY OBRIEN, LAT, ATC
Active Sole ProprietorTIMOTHY OBRIEN, LAT, ATC is a Athletic Trainer healthcare provider located in MAYVILLE, North Dakota. NPI 1255741674 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MAYVILLE, ND
Registration Details
- NPI Number
- 1255741674
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2014 (12.230968516359 yrs)
- Last Updated
- May 7, 2014
- License
-
103-92 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
330 3RD ST NEMAYVILLE STATE UIVERSITYMAYVILLE, ND, 582571217Browse ND providers · Browse ZIP 58257
- Phone
- 7017884844
- Fax
- 7017884840
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.