Individual provider · Type 1 NPI

Lane David Dieckow

Physical Therapist · Peoria, IL

NPI number 1467690073 Active

Practice location

3714 N Prospect Rd
Peoria, IL 61614-7743

Call (309) 550-7888 Map

Fax (309) 550-7848

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X070016884 (IL)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1467690073

Lane David Dieckow's National Provider Identifier is 1467690073, issued on Feb 4, 2009. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Peoria, IL. The record was last updated on Jun 28, 2017.