Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy Koba, ATC, CSCS, LMT, CMT

Individual provider Massage Therapist · NPI 1578736799

Timothy Koba, ATC, CSCS, LMT, CMT is a Massage Therapist in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

310 Taughannock Bvld Ste 5A
Ithaca, NY 14850
Phone: (607) 252-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 001623-1 (NY)
Massage Therapist Taxonomy 225700000X · Licence 019227 (NY)

Record details

NPI number1578736799
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , CSCS , LMT , CMT
Sole proprietorYes
NPI enumeratedApril 9, 2008
Last updated in NPPESApril 10, 2008

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