Individual
MICHAELA NICHOLE MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
338 VETERANS MEMORIAL DRIVE, TROY, AL 36082-7729
(334) 670-3452
Mailing address
995 JOSHUA DR, RENO, NV 89509-2248
(702) 752-9803
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2691
AL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2020
Last updated
08/10/2022
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