IndividualActive
Abu Ibrahim, ATC, LAT
NPI 1285057513 · Athletic Trainer · Oskaloosa, IA
Provider details
- NPI number
- 1285057513
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- License
- 001207 (IA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
201 Trueblood Ave
Oskaloosa, IA 52577-1757
Phone: (641) 673-1093
Fax: (673) 641-1290
Approximate (ZIP-level) locationGet directions
Mailing address
201 Trueblood Ave
Oskaloosa, IA 52577-1757
Registry dates
- Enumerated
- 2014-01-22
- Last updated
- 2014-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.