Individual
SIERRA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 OLD MAIN HL, LOGAN, UT 84322-7425
(435) 797-1850
Mailing address
925 W 2075 S, LOGAN, UT 84321-7289
(562) 505-4230
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
07/02/2026
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