Provider Demographics
NPI:1114298015
Name:FREEMAN, CATHERINE (MS LAC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MS LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2308
Mailing Address - Street 2:
Mailing Address - City:CHELAN
Mailing Address - State:WA
Mailing Address - Zip Code:98816-2308
Mailing Address - Country:US
Mailing Address - Phone:509-630-0041
Mailing Address - Fax:509-888-5352
Practice Address - Street 1:136 E JOHNSON AVE, STE 1
Practice Address - Street 2:
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816-9904
Practice Address - Country:US
Practice Address - Phone:509-888-5477
Practice Address - Fax:509-888-5352
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AC60209135171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist