Provider Demographics
NPI:1558164061
Name:FIRE AND FUEL PT AND WELLNESS LLC KATIE FRISKE SOLE MBR
Entity type:Organization
Organization Name:FIRE AND FUEL PT AND WELLNESS LLC KATIE FRISKE SOLE MBR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRISKE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:757-373-3038
Mailing Address - Street 1:1120 CANOPY WAY
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-1302
Mailing Address - Country:US
Mailing Address - Phone:757-373-3038
Mailing Address - Fax:
Practice Address - Street 1:1120 CANOPY WAY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-1302
Practice Address - Country:US
Practice Address - Phone:757-373-3038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy