SearchIdahoAthletic Trainer

Diego Maldonado Quezada

NPI 1679266308 · on the registry since 2023

Practice

Address
875 Perimeter Dr
Moscow, ID 83844
Phone
(208) 885-6111
Clinicians at this address
117

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Also registered as
Speech/Language/Hearing Specialist/Technologist
Student in an Organized Health Care Education/Training Program
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho