Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEATON TYLER FRY
ActiveKEATON TYLER FRY is a Athletic Trainer healthcare provider located in NEVADA, Iowa. NPI 1104517416 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NEVADA, IA
Registration Details
- NPI Number
- 1104517416
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2023 (3.2745307114396 yrs)
- Last Updated
- May 17, 2023
Practice Information
- Address
-
17047 640TH AVENEVADA, IA, 502017822Browse IA providers · Browse ZIP 50201
- Phone
- 5154506169
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NEVADA, IA
| Name | Credential | NPI |
|---|---|---|
| MATTHEW MYERS | — | 1154728004 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.