Provider Demographics
NPI:1023888674
Name:FRYE, JAMES PRESTON JR (PERSONAL TRAINER)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PRESTON
Last Name:FRYE
Suffix:JR
Gender:M
Credentials:PERSONAL TRAINER
Other - Prefix:
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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:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ2990596373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist