Provider Demographics
NPI:1275052052
Name:TRAWICK, ALEXANDRA ELAINE (MA, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:ELAINE
Last Name:TRAWICK
Suffix:
Gender:F
Credentials:MA, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MCDANIEL RD
Mailing Address - Street 2:
Mailing Address - City:CROPWELL
Mailing Address - State:AL
Mailing Address - Zip Code:35054-4809
Mailing Address - Country:US
Mailing Address - Phone:205-577-1124
Mailing Address - Fax:
Practice Address - Street 1:105 MCDANIEL RD
Practice Address - Street 2:
Practice Address - City:CROPWELL
Practice Address - State:AL
Practice Address - Zip Code:35054-4809
Practice Address - Country:US
Practice Address - Phone:205-577-1124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-13
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer