| Jackson Ray Diede, MAT, ATC | |
|
810 E 23rd St, Sioux Falls, SD 57105-2135 | |
| (605) 331-5890 | |
| Not Available |
| Full Name | Jackson Ray Diede |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
| Location | 810 E 23rd St, Sioux Falls, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760054373 | NPI | - | NPPES |
| WSLW01080864 | Other | SD | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 0714 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Ray Diede, MAT, ATC 117 S High St, Menno, SD 57045-2170 Ph: (605) 760-1566 | Jackson Ray Diede, MAT, ATC 810 E 23rd St, Sioux Falls, SD 57105-2135 Ph: (605) 331-5890 |
Colton-ross Alan Johnson, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 810 E 23rd St Fl 2, Sioux Falls, SD 57105 Phone: 605-440-7728 | |
Dr. Thomas Matthew Boetel, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1210 W 18th St, Suite 100, Sioux Falls, SD 57104 Phone: 605-312-8500 Fax: 605-312-8501 | |
Dr. Christopher Janssen, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1210 W 18th St, Ste 100, Sioux Falls, SD 57104 Phone: 605-312-8500 Fax: 605-312-8501 | |
Dr. Myung Joo Cho, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3934 South Western Ave, Sioux Falls, SD 57105 Phone: 605-322-7524 Fax: 605-322-7526 | |
Nathan Koens, PA-C Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1020 W 18th St, Sioux Falls, SD 57104 Phone: 605-444-9700 | |
Jerry J Blow, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 101 W 69th Str, Ste 103, Sioux Falls, SD 57108 Phone: 605-988-0910 Fax: 605-988-0911 | |
Stephanie Kelley, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1000 N West Ave Ste 210, Sioux Falls, SD 57104 Phone: 605-231-2490 |