Provider Demographics
NPI:1104943018
Name:FRYE, TERRY ANN (MS PT)
Entity type:Individual
Prefix:MS
First Name:TERRY
Middle Name:ANN
Last Name:FRYE
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:94706 NORTHSTAR PR NE
Mailing Address - Street 2:
Mailing Address - City:WEST RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99353-6200
Mailing Address - Country:US
Mailing Address - Phone:509-430-9669
Mailing Address - Fax:509-461-8088
Practice Address - Street 1:303 BRADLEY BLVD STE 204
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4497
Practice Address - Country:US
Practice Address - Phone:509-430-9669
Practice Address - Fax:509-461-8088
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007959225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist