Provider Demographics
NPI:1821466830
Name:FIEDLER, ABBY EILEEN (DPT)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:EILEEN
Last Name:FIEDLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1059 BADGER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:VAN METER
Mailing Address - State:IA
Mailing Address - Zip Code:50261-8503
Mailing Address - Country:US
Mailing Address - Phone:712-242-8142
Mailing Address - Fax:
Practice Address - Street 1:325 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250-2098
Practice Address - Country:US
Practice Address - Phone:515-523-2815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03913225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist