Individual
NATHAN FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
345 BOYER AVE, WALLA WALLA, WA 99362-2067
(509) 527-5911
(509) 527-5730
Mailing address
345 BOYER AVE, WALLA WALLA, WA 99362-2067
(509) 527-5911
(509) 527-5730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A1 60108570
WA
Other
Enumeration date
12/07/2013
Last updated
12/09/2013
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