IndividualActive
Andrew Dieckmann, PT, DPT, LAT, ATC
NPI 1821573478 · Orthopedic Physical Therapist · Moore, OK
Provider details
- NPI number
- 1821573478
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2019026347 (MO)
Mailing address
14638 S Kaw Dr
Olathe, KS 66062-4867
Registry dates
- Enumerated
- 2018-09-30
- Last updated
- 2022-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.