Provider Demographics
NPI:1932330040
Name:FREIBERG, JOAN V (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:V
Last Name:FREIBERG
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MAIN ST.
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NORWAY
Mailing Address - State:MI
Mailing Address - Zip Code:49870
Mailing Address - Country:US
Mailing Address - Phone:906-563-8838
Mailing Address - Fax:
Practice Address - Street 1:400 MAIN ST.
Practice Address - Street 2:SUITE 8
Practice Address - City:NORWAY
Practice Address - State:MI
Practice Address - Zip Code:49870
Practice Address - Country:US
Practice Address - Phone:906-563-8838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist