1760054373 Jackson Ray Diede, MAT, ATC
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Active
Basic Information
- Full Name
- Jackson Ray Diede, MAT, ATC
- Gender
- Male
- Enumeration Date
- July 13, 2021
- Last Update
- July 13, 2021
Practice Location
- Address
- 810 E 23RD ST
SIOUX FALLS, SD 571052135 - Phone
- (605) 331-5890
Mailing Address
- Address
- 117 S HIGH ST
MENNO, SD 570452170 - Phone
- (605) 760-1566
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician Sports Medicine | 2081S0010X | Physical Medicine & Rehabilitation | 0714 | SD | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WSLW01080864 | 01 | SD | BLUECROSS BLUESHIELD |
Digital Endpoints
DIRECT Use: DIRECT
jdiede@ortho-i.com
Frequently Asked Questions
What is Jackson Ray Diede, MAT, ATC's NPI number?
Jackson Ray Diede, MAT, ATC's NPI number is 1760054373.
Which doctor has NPI number 1760054373?
The doctor with NPI number 1760054373 is Jackson Ray Diede, MAT, ATC.
What is Jackson Ray Diede, MAT, ATC's practice address?
Jackson Ray Diede, MAT, ATC's practice address is 810 E 23RD ST, SIOUX FALLS, SD, 571052135.
Which doctor practices at 810 E 23RD ST, SIOUX FALLS, SD, 571052135?
Jackson Ray Diede, MAT, ATC practices at 810 E 23RD ST, SIOUX FALLS, SD, 571052135.
What is Jackson Ray Diede, MAT, ATC's mailing address?
Jackson Ray Diede, MAT, ATC's mailing address is 117 S HIGH ST, MENNO, SD, 570452170.
What is Jackson Ray Diede, MAT, ATC's phone number?
Jackson Ray Diede, MAT, ATC's phone number is (605) 331-5890.
Who is (605) 331-5890?
(605) 331-5890 is the phone number for Jackson Ray Diede, MAT, ATC.
What is Jackson Ray Diede, MAT, ATC's specialty?
Jackson Ray Diede, MAT, ATC's specialty is Sports Medicine (Physical Medicine & Rehabilitation) Physician.
What type of doctor is Jackson Ray Diede, MAT, ATC?
Jackson Ray Diede, MAT, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician.
Is Jackson Ray Diede, MAT, ATC a Sports Medicine?
Yes, Jackson Ray Diede, MAT, ATC is a Sports Medicine.
Is Jackson Ray Diede, MAT, ATC still practicing?
Yes, Jackson Ray Diede, MAT, ATC is currently practicing.
Is Jackson Ray Diede, MAT, ATC accepting new patients?
Jackson Ray Diede, MAT, ATC may be accepting new patients. Please call their office at (605) 331-5890 to inquire about availability.
Is NPI 1760054373 still active?
Yes, NPI 1760054373 is currently active.
Where does Jackson Ray Diede, MAT, ATC practice?
Jackson Ray Diede, MAT, ATC practices in SIOUX FALLS, SD.
Is Jackson Ray Diede, MAT, ATC a male or female doctor?
Jackson Ray Diede, MAT, ATC is a male doctor.