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KTP WELLNESS SOLUTION LLC NPI 1346888948


NPI Information

NPI: 1346888948
Provider Name: KTP WELLNESS SOLUTION LLC

Doing Business As: BIO-WORX WELLNESS THERAPY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
201 COLUMBIA MALL BLVD STE 189
COLUMBIA, SC
ZIP 29223
Phone: (803) 404-7418
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KTP WELLNESS SOLUTION LLC is a multi-specialty clinic center in Columbia, SC. KTP WELLNESS SOLUTION LLC NPI is 1346888948. The provider is registered as an organization entity type.
The provider Is Doing Business As Bio-worx Wellness Therapy.

The provider's business location address is:

201 COLUMBIA MALL BLVD STE 189
COLUMBIA, SC
ZIP 29223-550
Phone: (803) 404-7418
Fax: (888) 958-0279

The provider's authorized official is Thelisa Y Sulton .
The authorized official title is Owner and has the following contact phone number (803) 404-7418.

The enumeration date for this NPI number is 12/13/2019 and was last updated on 2/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112345678OTHERSOUTH CAROLINAMULTI- SPECIALITY CLINIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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