Search › Kentucky › 225100000X
Corey Dietze, DPT, ATC-LAC
NPI 1417073875 · on the registry since 2007
Practice
- Address
- Blanchfield Army Community Hospital
650 Joel Drive
Fort Campbell, KY 42223 - Phone
- (270) 798-8400
- Clinicians at this address
- 75
Additional practice sites
- 3002 S Academy Blvd, Colorado Springs, CO
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X
225100000X
225100000X
2251X0800X
2255A2300X
2255A2300X - Licence states on file
- FL, VA, CO, IA, UT, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky