Individual provider · Type 1 NPI

Diego Maldonado Quezada

Athletic Trainer · Moscow, ID

NPI number 1679266308 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (208) 885-6111 Map

Mailing address

604 W A St Apt B
Moscow, ID 83843-2198

Specialties and licenses

TaxonomyCodeLicense
Speech/Language/Hearing Specialist/Technologist 235500000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Athletic Trainer Primary 2255A2300X2000057806 (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 1679266308

Diego Maldonado Quezada's National Provider Identifier is 1679266308, issued on May 30, 2023. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Moscow, ID. The record was last updated on Aug 2, 2025.