NPI Code Details Logo

NPI 1700519246

NPI 1700519246 : JAMES ROBERT FRITH JR. NC LMBT #14700 : BLACK MOUNTAIN, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700519246
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JAMES ROBERT FRITH JR. NC LMBT #14700
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/01/2022
-----------------------------------------------------
    Last Update Date     |    07/01/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    53 TUPPER RD 
-----------------------------------------------------
    City                 |    BLACK MOUNTAIN
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28711-8421
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-707-3798
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 831 
-----------------------------------------------------
    City                 |    BLACK MOUNTAIN
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28711-0831
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-707-3798
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225700000X
-----------------------------------------------------
    Taxonomy Name        |    Massage Therapist
-----------------------------------------------------
    License Number       |    14700
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.