Gary Diehm, ATC
Specialist/Technologist, Athletic Trainer in Wichita Falls, TX. Individual provider (NPI-1).
NPI number1457742579
StatusActive
Last updated in NPPESFeb 11, 2015
Details
- NPI
- 1457742579
- Entity type
- Individual (NPI-1)
- Name
- Gary Diehm
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2015
- Last updated
- Feb 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT2570 | TX | Yes |
Practice location
3410 Taft BlvdWichita Falls, TX 76308-2036
Phone 940-397-6236 · Fax 940-397-6878
Mailing address
3410 Taft BlvdWichita Falls, TX 76308-2036
Phone 940-397-6236 · Fax 940-397-6878
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All 23 Athletic Trainer providers in Wichita Falls · All 2,588 providers in Wichita Falls
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