1. Home
  2. Directory
  3. Idaho
  4. Moscow
  5. Specialist Technologist
  6. NPI Profile

TAIYLER JADE SODERQUIST ATC, NREMT
NPI 1073204558
Specialist/Technologist - Athletic Trainer in Moscow, ID

Active since May 16, 2023
875 PERIMETER DR, MOSCOW, ID 83844(208) 885-6111 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, May 16, 2023 (2 updates tracked since 2023).

About Taiyler Jade Soderquist Atc, Nremt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAIYLER JADE SODERQUIST ATC, NREMT (NPI 1073204558) is an individual athletic trainer provider in Moscow, Idaho and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1073204558
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameTAIYLER JADE SODERQUISTCredential: ATC, NREMT
Location Address875 PERIMETER DRMoscow, ID 83844-9803
Mailing Address7628 N Appomattox CtSpokane, WA 99208-5667 · (509) 789-0027
Phone(208) 885-6111
Sole ProprietorNo
Enumeration DateMay 16, 2023
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1073204558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X
875 PERIMETER DR, Moscow, ID 83844
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN KOPSHO
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
NATSUMI KURIBAYASHI LAT, ATC
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-0256
LOGAN FREDERICK PRINS
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (816) 868-1839
VANESSA NICOLE PADILLA
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
HUNTER AUGUSTUS CONNOLLEY
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
BROOKE LOPEZ
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
NASIHA IFTIAZ
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
ISABELLA ADRIANNA HERNANDEZ
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taiyler Soderquist's NPI number?

The NPI number for Taiyler Soderquist is 1073204558. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Taiyler Soderquist located?

Taiyler Soderquist practices at 875 Perimeter Dr, Moscow, ID 83844. The listed phone number is (208) 885-6111.

What is Taiyler Soderquist's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Taiyler Soderquist was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.