NPI 1073119079

Lastazia Backus

Practitioner Massage Therapist Smithfield, NC

Practice location

Address: 3560 US Highway 301 S, Smithfield, NC 27577-9495
Phone: (919) 710-9895
Mailing address: PO Box 2962, Smithfield, NC 27577-2962

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 17361 (NC)

Other Massage Therapist providers in North Carolina →

Registry record

NPI: 1073119079
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2020
Record last updated: 7 Dec 2020

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.