Individual provider · NPI-1
Davis Tobia Sr., MS ATC
Specialist/Technologist, Athletic Trainer · East Rockaway, NY
NPI number1447005178
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1447005178
- Entity type
- Individual (NPI-1)
- Name
- Mr. Davis Tobia Sr.
- Credential
- MS ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 15, 2024
- Last updated
- Apr 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 000461-01 | NY | Yes |
Practice location
33 Arden RdEast Rockaway, NY 11518-2401
Phone 516-449-1297
Mailing address
33 Arden RdEast Rockaway, NY 11518-2401
Phone 516-449-1297
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.