MEDICARE: RT HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1548003577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RT HEALTH, LLC

Provider Business Mailing Address
First Line	:	4141 S HIGHLAND DR STE 204
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-2642
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4141 S HIGHLAND DR STE 204
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-2642
Country	:	US
Telephone Number	:	215-806-0030
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. TAMARA STEIN JENEN
Credential	:	MD
Telephone Number	:	215-806-0030

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/17/2024

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