Provider Demographics
NPI:1043862311
Name:FREY, KALEE JO
Entity type:Individual
Prefix:MISS
First Name:KALEE
Middle Name:JO
Last Name:FREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 CULLEN BLVD SPORTS MEDICINE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77204-6002
Mailing Address - Country:US
Mailing Address - Phone:713-743-0785
Mailing Address - Fax:
Practice Address - Street 1:3204 CULLEN BLVD SPORTS MEDICINE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77204-6002
Practice Address - Country:US
Practice Address - Phone:713-743-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer