Provider Demographics
NPI:1649388174
Name:TUBBS, TINA ANN (MS, ATC)
Entity Type:Individual
Prefix:MS
First Name:TINA
Middle Name:ANN
Last Name:TUBBS
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4654 CHILON WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1729
Mailing Address - Country:US
Mailing Address - Phone:805-252-1588
Mailing Address - Fax:
Practice Address - Street 1:4654 CHILON WAY
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1729
Practice Address - Country:US
Practice Address - Phone:805-252-1588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer