SearchMarylandAthletic Trainer

Joseph Tibbals, ATC

NPI 1336371798 · on the registry since 2009 · sole proprietor

Practice

Address
301 Largo Rd
Largo, MD 20774
Phone
(301) 322-0510
Organisation at this address
Luminis Health Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-08-19
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland