Individual
MICAH TRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5345 ATLANTA HWY, MONTGOMERY, AL 36109-3323
(803) 810-2968
Mailing address
354 MAYNARD GRAYSON RD, CLOVER, SC 29710-9491
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1754
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2015
Last updated
11/27/2022
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