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

Larry R Diediker, LAT

Individual provider Athletic Trainer · NPI 1245244615

Larry R Diediker, LAT is an Athletic Trainer in Conroe, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

508 Medical Center Blvd
Conroe, TX 77304-2808
Phone: (936) 760-6631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATO170 (TX)

Record details

NPI number1245244615
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 8, 2007

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