MAT, ATC Jackson Ray Diede, NPI 1760054373
Sports Medicine (Physical Medicine & Rehabilitation) Physician in Sioux Falls, SD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1760054373
NPI Entity Type Individual
Provider Name MAT, ATC Jackson Ray Diede
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 810 E 23rd St, Sioux Falls, SD, US
Provider Mailing Address 117 S High St, Menno, SD, US, 570452170
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2081S0010X

Taxonomy Name Sports Medicine (Physical Medicine & Rehabilitation) Physician
Classification

Physical Medicine & Rehabilitation

Group

Allopathic & Osteopathic Physicians

License No. 0714
License State SD
Description A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Business Address

MAT, ATC Jackson Ray Diede
810 E 23rd St

Sioux Falls, SD, US

Phone: 605-331-5890

Mailing Address

MAT, ATC Jackson Ray Diede
117 S High St
Menno, SD, US
ZIP 570452170
Phone: 605-760-1566

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT CSV No 810 E 23rd St, Sioux Falls, SD, US

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D.O Ryan Marx Hyde

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Student in an Organized Health Care Education/Training Program

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