Provider Demographics
NPI:1285409938
Name:FREEBY, MEAGHAN EILENE (LMT)
Entity type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:EILENE
Last Name:FREEBY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 E 11TH AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-2772
Mailing Address - Country:US
Mailing Address - Phone:253-306-4156
Mailing Address - Fax:
Practice Address - Street 1:2599 WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5655
Practice Address - Country:US
Practice Address - Phone:720-536-8589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT0025886225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist