Provider Demographics
NPI:1710302930
Name:FREESE, BRITTANY (DC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:FREESE
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 1:1121 TOWN CENTRE DR STE 202
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123-1370
Mailing Address - Country:US
Mailing Address - Phone:651-777-3611
Mailing Address - Fax:651-773-5251
Practice Address - Street 1:1121 TOWN CENTRE DR STE 202
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55123-1370
Practice Address - Country:US
Practice Address - Phone:651-452-7141
Practice Address - Fax:651-452-7255
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5891111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor