Provider Demographics
NPI:1770375891
Name:LETROME RESTORATIVE WELLNESS & HEALTH LLC
Entity type:Organization
Organization Name:LETROME RESTORATIVE WELLNESS & HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEA
Authorized Official - Middle Name:
Authorized Official - Last Name:TCHATO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:817-680-0901
Mailing Address - Street 1:5505 SUMMER MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-1985
Mailing Address - Country:US
Mailing Address - Phone:817-680-0901
Mailing Address - Fax:682-213-2892
Practice Address - Street 1:5505 SUMMER MEADOWS DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-1985
Practice Address - Country:US
Practice Address - Phone:817-680-0901
Practice Address - Fax:682-213-2892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty