Provider Demographics
NPI:1356216535
Name:FREEMAN, CHELSEA (MS)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3371 THUNDERING HERD WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-1592
Mailing Address - Country:US
Mailing Address - Phone:786-461-9671
Mailing Address - Fax:
Practice Address - Street 1:3371 THUNDERING HERD WAY
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-1592
Practice Address - Country:US
Practice Address - Phone:786-461-9671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist