Healthcare Provider Details

I. General information

NPI: 1790602357
Provider Name (Legal Business Name): KRTL MEDHEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 SOUTHWEST DR STE 3
SEDONA AZ
86336-3717
US

IV. Provider business mailing address

27533 MARTA LN APT 202
CANYON COUNTRY CA
91387-6564
US

V. Phone/Fax

Practice location:
  • Phone: 775-977-2795
  • Fax:
Mailing address:
  • Phone: 775-239-0098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: TERESA WHEELER
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 775-239-0098