Individual
KHALIAH TUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2115 MILLBURN AVE, MAPLEWOOD, NJ 07040-3724
(973) 461-6168
Mailing address
2115 MILLBURN AVE, MAPLEWOOD, NJ 07040-3724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01310200
NJ
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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