Provider Demographics
NPI:1588174825
Name:FREITAG, JOSHUA KLAUS (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:KLAUS
Last Name:FREITAG
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:LAMESA
Mailing Address - State:TX
Mailing Address - Zip Code:79331-2516
Mailing Address - Country:US
Mailing Address - Phone:806-759-1483
Mailing Address - Fax:
Practice Address - Street 1:221 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:LAMESA
Practice Address - State:TX
Practice Address - Zip Code:79331-5533
Practice Address - Country:US
Practice Address - Phone:806-752-7499
Practice Address - Fax:806-370-6484
Is Sole Proprietor?:No
Enumeration Date:2017-09-30
Last Update Date:2019-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1262686225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist