Timothy Koba, ATC,CSCS,LMT,CMT

NPI 1578736799 · on the registry since 2008 · sole proprietor

Practice

Address: 310 Taughannock Bvld
Suite 5a
Ithaca, NY 14850
Phone: (607) 252-3500

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Also registered as: Massage Therapist
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-04-10

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 New York