Individual
LINDSAY S. FREEBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1188 W UNIVERSITY DR, BOISE, ID 83706-3009
(208) 345-4446
Mailing address
1188 W UNIVERSITY DR, BOISE, ID 83706-3009
(208) 345-4446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-008454
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706410
MEDICARE GROUP
IL
01
—
753210
MEDICARE GROUP
IL
01
—
CC6674
RR MEDICARE
IL
01
—
CF2064
RAILROAD GROUP
IL
Enumeration date
12/30/2005
Last updated
08/01/2025
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