Desiree Moreno, DAT, LAT, ATC
Athletic Trainer · Raton, NM
Practice location
1356 Vista PlRaton, NM 87740-2221
- Phone
- (715) 554-2728
NPI record
- NPI
- 1508221573
- Entity type
- Individual (Type 1)
- Enumeration date
- December 17, 2015
- Last updated
- May 22, 2024
- Certified
- May 22, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
AT.0001395 | CO |
| Athletic Trainer | 2255A2300X |
— | — |
| Athletic Trainer | 2255A2300X |
1454-39 | WI |
Mailing address
723 W Jefferson StTrinidad, CO 81082-3667
- Phone
- (719) 557-0570
About Desiree Moreno
Desiree Moreno, DAT, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1356 Vista Pl, Raton, NM 87740-2221. The NPI number 1508221573 was assigned on December 17, 2015 and the record was last updated on May 22, 2024.
Desiree Moreno lists 2 licenses in the registry: #AT.0001395 (CO) for Athletic Trainer; #1454-39 (WI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Desiree Moreno, DAT, LAT, ATC?
The NPI number is 1508221573.
What is the phone number of Desiree Moreno?
The phone number listed for the practice location is (715) 554-2728.
Where is Desiree Moreno located?
1356 Vista Pl, Raton, NM 87740-2221.
What is the taxonomy code for Desiree Moreno?
The primary taxonomy code is 2255A2300X – Athletic Trainer; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.