Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JON DALE DIECKMAN, ATC
ActiveMR. JON DALE DIECKMAN, ATC is a Athletic Trainer healthcare provider located in MADISON, Mississippi. NPI 1376613588 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MADISON, MS
Registration Details
- NPI Number
- 1376613588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2006 (19.575358573239 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT0059 (MS)
Practice Information
- Address
-
506 LINCOLN CVMADISON, MS, 391107337Browse MS providers · Browse ZIP 39110
- Phone
- 6018537765
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MADISON, MS
| Name | Credential | NPI |
|---|---|---|
| GARRETT HANSEN | — | 1932677309 |
| AUSTIN DRAKE | LAT, ATC | 1497396428 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.