DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY KOBA, ATC,CSCS,LMT,CMT

Active Sole Proprietor

TIMOTHY KOBA, ATC,CSCS,LMT,CMT is a Athletic Trainer healthcare provider located in ITHACA, New York. NPI 1578736799 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ITHACA, NY

Registration Details

NPI Number
1578736799
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2008 (18.160477493768 yrs)
Last Updated
Apr 10, 2008
Licenses
019227 (NY)
001623-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
310 TAUGHANNOCK BVLD
SUITE 5A
ITHACA, NY, 14850
Browse NY providers · Browse ZIP 14850
Phone
6072523500
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in ITHACA, NY

Name Credential NPI
MR. CHRIS H HUMMEL MS, ATC 1437116696
DR. PAUL R GEISLER ED.D, ATC 1831157031
DR. KENT C SCRIBER EDD, ATC, PT 1669532859
MRS. COURTNEY GRAY MS, ATC 1457486813
MR. CHRIS SCARLATA ATC 1811029275
MR. DANIEL EDWARD KING ATC 1760705883
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.