Provider Demographics
NPI:1982132031
Name:AIKEN-FELLING, SARAH B (CAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:B
Last Name:AIKEN-FELLING
Suffix:
Gender:F
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 SCHNEIDER AVE SE STE 5
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-2592
Mailing Address - Country:US
Mailing Address - Phone:715-831-8998
Mailing Address - Fax:
Practice Address - Street 1:3120 SCHNEIDER AVE SE STE 5
Practice Address - Street 2:
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-2592
Practice Address - Country:US
Practice Address - Phone:715-831-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI886-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist