Jackson Ray Diede is a Sioux Falls, South Dakota based physiatrist who is specialized in Sports Medicine (PM&R). Active license number of Jackson Ray Diede as Sports Medicine (PM&R) is 0714 in South Dakota.
Jackson Ray Diede provides 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.
Complete Profile:
Jackson Ray Diede speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Sports Medicine (PM&R)
Credentials:
MAT, ATC
Gender:
Male
Practice Address:
810 E 23rd St, Sioux Falls, South Dakota, 57105-2135
Phone:
605-331-5890
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1760054373
NPI Enumeration Date:
13 Jul, 2021
NPI Last Update On:
13 Jul, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Ray Diede are as mentioned below.
License Number
Specialization
State
Status
0714
Sports Medicine
South Dakota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jackson Ray Diede such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
WSLW01080864
Other
South Dakota
BLUECROSS BLUESHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
117 S High St, Menno, South Dakota
Zip:
57045-2170
Phone Number:
605-760-1566
Fax Number:
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Patients can reach Jackson Ray Diede at 810 E 23rd St, Sioux Falls, South Dakota or can call to book an appointment on 605-331-5890. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.