Provider Demographics
NPI:1033810858
Name:DAY, MICHAELA (ATC, LAT, CES)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:ATC, LAT, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 COWLS RD APT 317
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1473
Mailing Address - Country:US
Mailing Address - Phone:603-809-1136
Mailing Address - Fax:
Practice Address - Street 1:290 STADIUM DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01003-9397
Practice Address - Country:US
Practice Address - Phone:413-230-2758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33302255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer