TIMOTHY KOBA

ITHACA, NY
NPI1578736799
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  001623-1)
Additional Taxonomies225700000X Massage Therapist
(Licence: NY  019227)
Enumeration Date2008-04-09
Last Update Date2008-04-10
Business Address
-- TIMOTHY KOBA ATC,CSCS,LMT,CMT
310 TAUGHANNOCK BVLD SUITE 5A
ITHACA, NY 14850
Phone number: 607-252-3500
Mailing Address
-- TIMOTHY KOBA ATC,CSCS,LMT,CMT
2145 MECKLENBURG RD APT 1
ITHACA, NY 14850-9378
Phone number: 607-252-3500