Taryn Cadez-Schmidt, MS, LAT/ATC

Individual provider Active NPI Athletic Trainer · Lewiston, ID

NPI 1194384263 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1194384263
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT-528 (ID)
Practice address
500 8TH Ave
Lewiston, ID 83501-2698
Phone
(208) 792-2145
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT-528IDMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-528 ID Yes

Addresses

Primary practice location

500 8TH Ave
Lewiston, ID 83501-2698

Mailing address

500 8TH Ave
Lewiston, ID 83501-2698
Phone (208) 792-2145

Other providers in Lewiston, ID

All providers in Lewiston, ID · Athletic Trainer in Idaho

Sources for this page

Verify at the official NPI Registry.