Koba, Timothy

Koba, Timothy is an sole proprietor health care provider with primary practice located at 310 Taughannock Bvld Suite 5A, Ithaca NY 14850. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Koba, Timothy can be contacted via phone (607) 252-3500.

Contact Information

Primary practice address
310 Taughannock Bvld Suite 5A Ithaca NY 14850
Phone: (607) 252-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 019227 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 001623-1 New York

Profile Details

NPI number 1578736799
LBN Legal business name Koba, Timothy
Credentials ATC,CSCS,LMT,CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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