Jackson Ray Diede MAT, ATC

  • NPI 1760054373
According to our database, the NPI number for Jackson Ray Diede MAT, ATC is 1760054373 and activated since 2 years ago. Jackson Ray Diede MAT, ATC is an individual provider who specializes in Sports Medicine, and the primary practice location is 810 E 23rd St, Sioux Falls, SD 57105. You can also contact Jackson Ray Diede MAT, ATC via telephone number is (605) 331-5890. Provider NPI information was last updated on 07/13/2021.

Recently Active NPIs

Overview of Jackson Ray Diede MAT, ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/13/2021
  • Last updated: 07/13/2021

Primary Scrop of Practice

  • Taxonomy Code: 2081S0010X
  • Specialty: Sports Medicine
  • License Number: 0714
  • License State: SD

Provider Mailing Address

  • Address: 117 S High St
    Menno, SD 57045
  • Phone: 605-760-1566
  • Fax:

Provider Practice Location

  • Address: 810 E 23rd St
    Sioux Falls, SD 57105
  • Phone: 605-331-5890
  • Fax:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jackson Ray Diede MAT, ATC?
  • A: The npi number for Jackson Ray Diede MAT, ATC is 1760054373.
  • Q: What are Jackson Ray Diede MAT, ATC's specialties?
  • A: Jackson Ray Diede MAT, ATC's specialties are Sports Medicine and different specialities.
  • Q: What is the medical license for Jackson Ray Diede MAT, ATC?
  • A: The medical license number for Jackson Ray Diede MAT, ATC is 0714 and issued in SD in USA.
  • Q: Where is Jackson Ray Diede MAT, ATC practice location?
  • A: Jackson Ray Diede MAT, ATC is practicing at 810 E 23rd St, Sioux Falls, SD 57105.
  • Q: How to contact Jackson Ray Diede MAT, ATC?
  • A: You can contact Jackson Ray Diede MAT, ATC via 605-331-5890.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.