Individual
MICAH CALEB YANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
1147 US-231 STE 9&10, TROY, AL 36081
(334) 465-8000
Mailing address
113 ABBY LN, TROY, AL 36079-4003
(334) 714-9810
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2515
AL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2018
Last updated
08/09/2023
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