Octavio Andres Tobar

Athletic Trainer · Kennesaw, GA

Individual Active NPI Reactivated July 31, 2018

NPI number 1033632203

Practice location

1950 Barrett Lakes Blvd NW Apt 1213
Kennesaw, GA 30144
Phone
(813) 447-0124

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NPI record

NPI
1033632203
Entity type
Individual (Type 1)
Enumeration date
July 19, 2017
Last updated
August 20, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT003335 GA
Athletic Trainer 2255A2300X AL4196 FL

Mailing address

1950 Barrett Lakes Blvd NW Apt 1213
Kennesaw, GA 30144-7535
Phone
(813) 447-0124

Other practice locations (1)

  • 3300 W Camelback Rd, Phoenix, AZ 85017-3030 · (480) 431-1822

About Octavio Tobar

Octavio Andres Tobar is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1950 Barrett Lakes Blvd NW Apt 1213, Kennesaw, GA 30144. The NPI number 1033632203 was assigned on July 19, 2017 and the record was last updated on August 20, 2018.

Octavio Tobar lists 2 licenses in the registry: #AT003335 (GA) for Athletic Trainer; #AL4196 (FL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Octavio Andres Tobar?

The NPI number is 1033632203.

What is the phone number of Octavio Tobar?

The phone number listed for the practice location is (813) 447-0124.

Where is Octavio Tobar located?

1950 Barrett Lakes Blvd NW Apt 1213, Kennesaw, GA 30144.

What is the taxonomy code for Octavio Tobar?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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