Provider Demographics
NPI:1033898721
Name:RTC4WELLNESS LLC
Entity Type:Organization
Organization Name:RTC4WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:TUGADE
Authorized Official - Last Name:CARINO
Authorized Official - Suffix:IV
Authorized Official - Credentials:LMT
Authorized Official - Phone:617-462-0774
Mailing Address - Street 1:228 PARK AVE S # 101242
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1502
Mailing Address - Country:US
Mailing Address - Phone:617-462-0774
Mailing Address - Fax:
Practice Address - Street 1:500 W 56TH ST APT 525
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3529
Practice Address - Country:US
Practice Address - Phone:617-462-0774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty