| NPI | 1982292249 |
|---|---|
| Doing Business As | KTR WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | DEANA CALLAHAM Owner 201-500-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2024-07-17 |