Provider Demographics
NPI:1033841200
Name:FREEMAN, RACHEL ERIN
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ERIN
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 MULLAN RD APT 201
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-5550
Mailing Address - Country:US
Mailing Address - Phone:559-862-6571
Mailing Address - Fax:
Practice Address - Street 1:3820 MULLAN RD APT 201
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-5550
Practice Address - Country:US
Practice Address - Phone:559-862-6571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer