Individual provider · Type 1 NPI

Kelly Ethel Diaz

Athletic Trainer · La Canada, CA

NPI number 1104641059 Active

Practice location

200 Foothill Blvd
La Canada, CA 91011-3700

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X004992 (NY)
Athletic Trainer Primary 2255A2300X2000058035 (CA)

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 1104641059

Kelly Ethel Diaz's National Provider Identifier is 1104641059, issued on Nov 16, 2024. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in La Canada, CA. The record was last updated on Sep 14, 2025.