| NPI | 1285300533 |
|---|---|
| Professional Name | MICAH TAYLOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 004178-01) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |