Individual
JAKE FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1220 1ST AVE NE, CEDAR RAPIDS, IA 52402-5092
(319) 399-8653
Mailing address
3170 DIAMOND DR, CEDAR RAPIDS, IA 52403-1513
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
083068
IA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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