Jackson Ray Diede, MAT, ATC
Jackson Ray Diede, MAT, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Sioux Falls, South Dakota. Licensed in South Dakota. Registered with an NPI since 2021.
- Licensed in
- SD
- In the registry since
- 2021
What do these letters mean?
- ATC — Certified Athletic Trainer
- Prevents and treats sport and activity injuries.
Practice location Address checks out
810 E 23rd StSioux Falls, SD 57105-2135
Phone: (605) 331-5890
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X · Licence 0714 (SD) |
|---|
Record details
| NPI number | 1760054373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MAT , ATC |
| Sole proprietor | No |
| NPI enumerated | July 13, 2021 |
| Last updated in NPPES | July 13, 2021 |
| Certification date | July 13, 2021 |