Provider Demographics
NPI:1740348788
Name:FREEMAN, EMILY J (MSPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:EDNEYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28727-0009
Mailing Address - Country:US
Mailing Address - Phone:828-692-9944
Mailing Address - Fax:828-692-9945
Practice Address - Street 1:2560 CHIMNEY ROCK RD
Practice Address - Street 2:STE F
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-8108
Practice Address - Country:US
Practice Address - Phone:828-692-9944
Practice Address - Fax:828-692-9945
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28682251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC06777OtherBLUE CROSS-BLUE SHIELD
NC7212101Medicaid