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

Jackson Ray Diede is a Sports Medicine (Physical Medicine & Rehabilitation) Physician based in Menno, SD and is specialized in Sports Medicine. Jackson Ray Diede practices in Sioux Falls, SD and has the professional credentials of MAT,ATC. The NPI Number for Jackson Ray Diede is 1760054373 and holds a License No. 0714 (South Dakota).

The current practice location address for Jackson Ray Diede is 810 E 23Rd St, Sioux Falls, SD and can be reached out via phone at 605-331-5890. You can also correspond with Jackson Ray Diede through the mailing address at 117 S HIGH ST, MENNO, SD - 57045-2170 (mailing address contact number: 605-760-1566).

Location: 810 E 23Rd St, Sioux Falls, SD, 57045-2170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760054373
Provider Name
Jackson Ray Diede
Credential
MAT,ATC
Provider Entity Type
Individual
Gender
Male
Address
810 E 23Rd St, Sioux Falls, SD, 57045-2170
Phone Number
605-331-5890
Fax Number
Provider Enumeration Date
07/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WSLW01080864 01 SD BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
810 E 23Rd St
City
Sioux Falls
State
South Dakota
Zip
57105-2135
Phone Number
605-331-5890
Fax Number
person
Provider Business Mailing Address Details
Address
117 S High St
City
Menno
State
South Dakota
Zip
57045-2170
Phone Number
605-760-1566
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Sports Medicine
Taxonomy
2081S0010X
License No.
0714 (South Dakota)
Definition
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.
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