Healthcare Provider Details

I. General information

NPI: 1558897090
Provider Name (Legal Business Name): RITA FRANKLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2017
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25134 OAKHURST DR
SPRING TX
77386-1421
US

IV. Provider business mailing address

25134 OAKHURST DR
SPRING TX
77386-1421
US

V. Phone/Fax

Practice location:
  • Phone: 936-271-0221
  • Fax: 936-271-0219
Mailing address:
  • Phone: 936-271-0221
  • Fax: 936-271-0219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT108282
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: