Healthcare Provider Details

I. General information

NPI: 1588873004
Provider Name (Legal Business Name): FRED J. FREEMAN ACBT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3942 W 79TH ST
INDIANAPOLIS IN
46268-1801
US

IV. Provider business mailing address

3942 W 79TH ST
INDIANAPOLIS IN
46268-1801
US

V. Phone/Fax

Practice location:
  • Phone: 317-513-4676
  • Fax:
Mailing address:
  • Phone: 317-513-4676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: