KEATON TYLER FRY
NPI 1104517416
Specialist/Technologist - Athletic Trainer in Nevada, IA

Q: What is Keaton Fry's NPI number?

The NPI number for Keaton Fry is 1104517416. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Q: What is Keaton Fry's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Keaton Fry was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2023

17047 640TH AVE, NEVADA, IA 50201(515) 450-6169 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keaton Tyler Fry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEATON TYLER FRY (NPI 1104517416) is an individual athletic trainer provider in Nevada, Iowa and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1104517416

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameKEATON TYLER FRY

Location Address17047 640TH AVENevada, IA 50201-7822

Mailing Address17047 640th AveNevada, IA 50201-7822 · (515) 450-6169

Phone(515) 450-6169

Sole ProprietorNo

Enumeration DateMay 17, 2023

NPPES CertifiedMay 17, 2023

✔ NPI 1104517416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

17047 640TH AVE, Nevada, IA 50201

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keaton Fry's NPI number?

The NPI number for Keaton Fry is 1104517416. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Keaton Fry located?

Keaton Fry practices at 17047 640th Ave, Nevada, IA 50201. The listed phone number is (515) 450-6169.

What is Keaton Fry's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Keaton Fry was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.