Provider Demographics
NPI:1558132449
Name:JP FRYE LLC
Entity Type:Organization
Organization Name:JP FRYE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PRESTON
Authorized Official - Last Name:FRYE
Authorized Official - Suffix:
Authorized Official - Credentials:PERSONAL TRAINER
Authorized Official - Phone:540-645-3099
Mailing Address - Street 1:17013 WILMONT RD
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-2817
Mailing Address - Country:US
Mailing Address - Phone:540-645-3099
Mailing Address - Fax:
Practice Address - Street 1:5254 POTOMAC DR STE A
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-5832
Practice Address - Country:US
Practice Address - Phone:540-709-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty