Individual
MS. FREDA ANN WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMT LMT CH MTI CMMP
Contact information
Practice address
2806 COMMON ST, LAKE CHARLES, LA 70601
(337) 433-0224
(337) 497-0607
Mailing address
2806 COMMON ST, LAKE CHARLES, LA 70601
(337) 433-0224
(337) 497-0607
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA036401
LA
225700000X
Massage Therapist
MT005160
TX
225700000X
Massage Therapist
MTI01662
TX
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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