Provider Demographics
NPI:1457647786
Name:FREED, CHELSEY HENSLEE (DPT)
Entity Type:Individual
Prefix:MISS
First Name:CHELSEY
Middle Name:HENSLEE
Last Name:FREED
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:NICOLE
Other - Last Name:HENSLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2408 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3209
Mailing Address - Country:US
Mailing Address - Phone:203-407-3590
Mailing Address - Fax:203-407-3595
Practice Address - Street 1:2416 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3248
Practice Address - Country:US
Practice Address - Phone:203-407-3590
Practice Address - Fax:203-407-3595
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10664225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist