Provider Demographics
NPI:1841189859
Name:FUEL YOUR FREEDOM, PLLC
Entity type:Organization
Organization Name:FUEL YOUR FREEDOM, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:CAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:316-308-0030
Mailing Address - Street 1:2644 N GULLEY GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-5496
Mailing Address - Country:US
Mailing Address - Phone:316-308-0030
Mailing Address - Fax:
Practice Address - Street 1:2592 N GREGG AVE STE 10
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5520
Practice Address - Country:US
Practice Address - Phone:316-308-0030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health