Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COREY LYNN DIETZE, DPT, ATC-LAC
ActiveCOREY LYNN DIETZE, DPT, ATC-LAC is a Physical Therapy Assistant healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1417073875 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1417073875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2007 (19.416540958361 yrs)
- Last Updated
- Feb 10, 2020
- Licenses
-
29738 (FL)2305207917 (VA)9739 (CO)04029 (IA)11466 (UT)
Practice Information
- Address
-
BLANCHFIELD ARMY COMMUNITY HOSPITAL650 JOEL DRIVEFORT CAMPBELL, KY, 42223Browse KY providers · Browse ZIP 42223
- Phone
- 2707988400
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Ergonomics (Occupational Therapy)
Other Physical Therapy Assistant Providers in FORT CAMPBELL, KY
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN JON PUFALL | P.T. | 1164492237 |
| MS. TAMARA ANNETTE MORELAND | PT | 1538135058 |
| MARY JOANNE LAURIN | LPT | 1295701720 |
| DR. LAVONDA F WOODS | PT | 1942278809 |
| DR. YVETTE MARIE ALBRIGHT | P.T. | 1184693590 |
| TODD ANDREW CHAMPLIN | PT | 1285667592 |
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.