Dietze, Corey Lynn

Dietze, Corey Lynn is an individual health care provider with primary practice located at Blanchfield Army Community Hospital 650 Joel Drive, Fort Campbell KY 42223. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Dietze, Corey Lynn can be contacted via phone (270) 798-8400.

Contact Information

Primary practice address
Blanchfield Army Community Hospital 650 Joel Drive Fort Campbell KY 42223
Phone: (270) 798-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 29738 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305207917 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9739 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 04029 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 11466 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 00515 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 4253 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11466 Tennessee

Profile Details

NPI number 1417073875
LBN Legal business name Dietze, Corey Lynn
Credentials DPT, ATC-LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Feb 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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