Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keaton Tyler Fry

Individual provider Athletic Trainer · NPI 1104517416

Keaton Tyler Fry is an Athletic Trainer in Nevada, Iowa. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

17047 640th Ave
Nevada, IA 50201-7822
Phone: (515) 450-6169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1104517416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023

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