Provider Demographics
NPI:1801319108
Name:FREED, REBECCA (DPT)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:FREED
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13570 NORTHGATE ESTATES DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-7655
Mailing Address - Country:US
Mailing Address - Phone:719-465-2156
Mailing Address - Fax:719-465-2095
Practice Address - Street 1:13570 NORTHGATE ESTATES DR. STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921
Practice Address - Country:US
Practice Address - Phone:719-465-2156
Practice Address - Fax:719-465-2095
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0010044225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist