Provider Demographics
NPI:1548506694
Name:TRYM FITNESS LLC
Entity type:Organization
Organization Name:TRYM FITNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN, NUTRITIONIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCCOMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:484-881-1702
Mailing Address - Street 1:6990 WINDHAVEN PKWY
Mailing Address - Street 2:#218
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5204
Mailing Address - Country:US
Mailing Address - Phone:484-881-1702
Mailing Address - Fax:
Practice Address - Street 1:1400 W HEBRON PKWY
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-6515
Practice Address - Country:US
Practice Address - Phone:484-881-1702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT81945133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty