Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DESIREE MORENO, DAT, LAT, ATC
Active Sole ProprietorDR. DESIREE MORENO, DAT, LAT, ATC is a Athletic Trainer healthcare provider located in RATON, New Mexico. NPI 1508221573 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · RATON, NM
Registration Details
- NPI Number
- 1508221573
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2015 (10.675140942196 yrs)
- Last Updated
- May 22, 2024
- Licenses
-
1454-39 (WI)AT.0001395 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1356 VISTA PLRATON, NM, 877402221Browse NM providers · Browse ZIP 87740
- Phone
- 7155542728
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.