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

Mr. Jon Dale Dieckman, ATC

Individual provider Athletic Trainer · NPI 1376613588

Mr. Jon Dale Dieckman, ATC is an Athletic Trainer in Madison, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

506 Lincoln Cv
Madison, MS 39110-7337
Phone: (601) 853-7765
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

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT0059 (MS)

Record details

NPI number1376613588
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Madison