Healthcare Provider Details

I. General information

NPI: 1205768892
Provider Name (Legal Business Name): ABIGAIL CHRISTINE FELDNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY CHRISTINE FELDNER

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BEARDSHEAR HALL
AMES IA
50011-0001
US

IV. Provider business mailing address

S43W25282 RED OAK DR
WAUKESHA WI
53189-7835
US

V. Phone/Fax

Practice location:
  • Phone: 515-294-4111
  • Fax:
Mailing address:
  • Phone: 262-282-8515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: