Individual provider · Type 1 NPI

Latasha Monique Jackson, LMBT

Massage Therapist · Concord, NC

NPI number 1013585447 Active

Practice location

78 Church St NE
Concord, NC 28025-4757

Call (980) 219-1809 Map

Mailing address

1270 Pine Ridge Rd
China Grove, NC 28023-8601

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11988 (NC)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1013585447

Latasha Monique Jackson, LMBT's National Provider Identifier is 1013585447, issued on Jun 13, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Concord, NC. The record was last updated on Jun 13, 2021.