Provider Demographics
NPI:1942019898
Name:BADGER, ABIGAIL (DC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:BADGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 300TH ST
Mailing Address - Street 2:
Mailing Address - City:BAGLEY
Mailing Address - State:IA
Mailing Address - Zip Code:50026-8016
Mailing Address - Country:US
Mailing Address - Phone:515-370-3170
Mailing Address - Fax:
Practice Address - Street 1:1360 NW 18TH ST STE 101
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-9105
Practice Address - Country:US
Practice Address - Phone:515-957-4042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA129525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor