Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jadelyn Taylor Eisele

Individual provider Athletic Trainer · NPI 1063039204

Jadelyn Taylor Eisele is an Athletic Trainer in Moscow, Idaho. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

707 Railroad St Apt 4
Moscow, ID 83843-2381
Phone: (208) 392-7081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1063039204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 4, 2020
Last updated in NPPESJuly 4, 2020
Certification dateJuly 4, 2020
Mailing address707 Railroad St Apt 4, Moscow, ID 83843-2381

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