Provider Demographics
NPI:1063682300
Name:CAITO, CHRIS (LMT)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:CAITO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2863
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509-2863
Mailing Address - Country:US
Mailing Address - Phone:813-695-2338
Mailing Address - Fax:800-235-1855
Practice Address - Street 1:10713 OPUS DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-2317
Practice Address - Country:US
Practice Address - Phone:813-695-2338
Practice Address - Fax:800-235-1855
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA46024225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist