MEDICARE: KATELYN MAE FELBER MAT, LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	1289	NE

General Provider Information

NPI Number	:	1093641938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN MAE FELBER MAT, LAT, ATC

Provider Business Mailing Address
First Line	:	2521 BOYCE ST
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-3572
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2521 BOYCE ST
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-3572
Country	:	US
Telephone Number	:	308-550-0250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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