Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corey Lynn Dietze, DPT, ATC-LAC

Individual provider Physical Therapist · NPI 1417073875

Corey Lynn Dietze, DPT, ATC-LAC is a Physical Therapist in Fort Campbell, Kentucky. Works from 2 locations. Licensed in Colorado, Florida, Iowa and Tennessee and 2 more.

Licensed in
CO, FL, IA, TN, UT, VA
In the registry since
2007
Specialties on file
8
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Partly verified

Some contact details are missing from the federal record.

Blanchfield Army Community Hospital 650 Joel Dr
Fort Campbell, KY 42223
Phone: (270) 798-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3002 S Academy Blvd, Colorado Springs, CO 80916-3202 — (719) 390-7010

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11466 (TN)
Physical Therapist Taxonomy 225100000X · Licence 29738 (FL)
Physical Therapist Taxonomy 225100000X · Licence 2305207917 (VA)
Physical Therapist Taxonomy 225100000X · Licence 9739 (CO)
Physical Therapist Taxonomy 225100000X · Licence 04029 (IA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 11466 (UT)
Athletic Trainer Taxonomy 2255A2300X · Licence 00515 (IA)
Athletic Trainer Taxonomy 2255A2300X · Licence 4253 (FL)

Record details

NPI number1417073875
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC-LAC
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

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