Individual provider · Type 1 NPI

Taiyler Jade Soderquist, ATC, NREMT

Athletic Trainer · Moscow, ID

NPI number 1073204558 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (208) 885-6111 Map

Mailing address

7628 N Appomattox Ct
Spokane, WA 99208-5667

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000XNone listed
Athletic Trainer Primary 2255A2300XNone listed

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1073204558

Taiyler Jade Soderquist, ATC, NREMT's National Provider Identifier is 1073204558, issued on May 16, 2023. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Moscow, ID. The record was last updated on Jun 9, 2025.