Healthcare Provider Details

I. General information

NPI: 1699093146
Provider Name (Legal Business Name): JOSEPH W. MUHE ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 05/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 BATH ST
SANTA BARBARA CA
93105-4330
US

IV. Provider business mailing address

2428 CASTILLO ST SUITE E
SANTA BARBARA CA
93105-4349
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-7801
  • Fax: 805-687-5342
Mailing address:
  • Phone: 805-682-7801
  • Fax: 805-687-5342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number079102401
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: