Individual provider · NPI-1

Heather Tobias, ATC, LAT

Specialist/Technologist, Athletic Trainer · Lebanon, PA

NPI number1144677006
StatusActive
Last updated in NPPESFeb 6, 2020

Details

NPI
1144677006
Entity type
Individual (NPI-1)
Name
Heather Tobias
Credential
ATC, LAT
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2016
Certification date
Feb 6, 2020
Last updated
Feb 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerRT005004PAYes

Practice location

950 Isabel Dr
Lebanon, PA 17042-7482

Phone 717-270-8841

Mailing address

212 S Tulpehocken St
Apt 3
Pine Grove, PA 17963-1070

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