Search › Wisconsin › 225100000X
Jared Dieckman, PT, DPT
NPI 1265346233 · on the registry since 2026
Practice
- Address
- 3171 30th Ave
Elk Mound, WI 54739 - Phone
- (715) 415-4876
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin