Provider Demographics
NPI:1629214408
Name:FIRE & FOCUS, LLC.
Entity Type:Organization
Organization Name:FIRE & FOCUS, LLC.
Other - Org Name:RELAX THE BACK #253
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-641-6111
Mailing Address - Street 1:13945 ALDRICH AVE S
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6216
Mailing Address - Country:US
Mailing Address - Phone:952-641-6111
Mailing Address - Fax:952-641-0944
Practice Address - Street 1:13945 ALDRICH AVE S
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6216
Practice Address - Country:US
Practice Address - Phone:952-641-6111
Practice Address - Fax:952-641-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-27
Last Update Date:2008-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies