Individual provider · Type 1 NPI

Larry R. Diediker, L.A.T.

Athletic Trainer · Conroe, TX

NPI number 1245244615 Active

Practice location

508 Medical Center Blvd
Conroe, TX 77304-2808

Call (936) 760-6631 Map

Mailing address

13240 Crest Dr
Willis, TX 77318-6611

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XATO170 (TX)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1245244615

Larry R. Diediker, L.A.T.'s National Provider Identifier is 1245244615, issued on Jul 28, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Conroe, TX. The record was last updated on Jul 8, 2007.