Provider Demographics
NPI:1982712089
Name:THOMAS, RITA ZEA (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:ZEA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4360 GASTON ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34607-2443
Mailing Address - Country:US
Mailing Address - Phone:352-597-1559
Mailing Address - Fax:
Practice Address - Street 1:8558 FOREST OAKS BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-6899
Practice Address - Country:US
Practice Address - Phone:352-686-5230
Practice Address - Fax:352-686-4182
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA37760225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist