NPI 1013585447

Latasha Monique Jackson, LMBT

Practitioner Massage Therapist Concord, NC

Practice location

Address: 78 Church St NE, Concord, NC 28025-4757
Phone: (980) 219-1809
Mailing address: 1270 Pine Ridge Rd, China Grove, NC 28023-8601

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 11988 (NC)

Other Massage Therapist providers in North Carolina →

Registry record

NPI: 1013585447
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2021
Record last updated: 13 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.