Taiyler Jade Soderquist, ATC, NREMT

NPI #1073204558 in Moscow, Idaho

Provider Information

NPI Number
1073204558
Entity Type
Individual
Name
Taiyler Jade Soderquist, ATC, NREMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, NREMT
Enumeration Date
May 16, 2023
Last Updated
Jun 9, 2025

Practice Location

Address
875 PERIMETER DR
City
Moscow
State
Idaho
ZIP Code
83844-9803
Phone
(208) 885-6111

Specialties & Taxonomy Codes

Specialty
Emergency Medical Technician, Basic
Specialist/Technologist - Athletic TrainerAthletic Trainer

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