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Latasha Monique Jackson, LMBT
Massage Therapist in Concord, North Carolina
NPI 1013585447

Latasha Monique Jackson is a Massage Therapist based in China Grove, NC. Latasha Monique Jackson practices in Concord, NC and has the professional credentials of LMBT. The NPI Number for Latasha Monique Jackson is 1013585447 and holds a License No. 11988 (North Carolina).

The current practice location address for Latasha Monique Jackson is 78 Church St Ne, Concord, NC and can be reached out via phone at 980-219-1809.

Location: 78 Church St Ne, Concord, NC, 28023-8601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013585447
Provider Name
Latasha Monique Jackson
Credential
LMBT
Provider Entity Type
Individual
Gender
Female
Address
78 Church St Ne, Concord, NC, 28023-8601
Phone Number
980-219-1809
Fax Number
Provider Enumeration Date
06/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
78 Church St Ne
City
Concord
State
North Carolina
Zip
28025-4757
Phone Number
980-219-1809
Fax Number
person
Provider Business Mailing Address Details
Address
78 Church St Ne
City
Concord
State
North Carolina
Zip
28025-4757
Phone Number
980-219-1809
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11988 (North Carolina)
Definition
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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