Provider Demographics
NPI:1265961957
Name:SOLFUEL LLC
Entity type:Organization
Organization Name:SOLFUEL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BULOW
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CFMT, ATC
Authorized Official - Phone:425-448-2567
Mailing Address - Street 1:4839 S BRANDON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2359
Mailing Address - Country:US
Mailing Address - Phone:425-448-2567
Mailing Address - Fax:
Practice Address - Street 1:4839 S BRANDON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2359
Practice Address - Country:US
Practice Address - Phone:425-448-2567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy