Provider Demographics
NPI:1205201779
Name:FREESPIRA, INC
Entity Type:Organization
Organization Name:FREESPIRA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND COO
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-735-8995
Mailing Address - Street 1:12020 113TH AVE NE STE 215
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6951
Mailing Address - Country:US
Mailing Address - Phone:800-735-8995
Mailing Address - Fax:844-394-2533
Practice Address - Street 1:12020 113TH AVE NE STE 215
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6951
Practice Address - Country:US
Practice Address - Phone:925-786-8409
Practice Address - Fax:844-394-2533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603427207332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment