Provider Demographics
NPI:1811293004
Name:FRITZY FEET, LLC
Entity type:Organization
Organization Name:FRITZY FEET, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ELLAFRITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-343-4444
Mailing Address - Street 1:2243 S MONACO PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5848
Mailing Address - Country:US
Mailing Address - Phone:303-343-4444
Mailing Address - Fax:303-343-4458
Practice Address - Street 1:2243 S MONACO PKWY STE 110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5848
Practice Address - Country:US
Practice Address - Phone:303-343-4444
Practice Address - Fax:303-343-4458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-04
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies