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Lastazia Backus
Massage Therapist in Smithfield, North Carolina
NPI 1073119079

Lastazia Backus is a Massage Therapist based in Smithfield, NC. Lastazia Backus practices in Smithfield, NC. The NPI Number for Lastazia Backus is 1073119079 and holds a License No. 17361 (North Carolina).

The current practice location address for Lastazia Backus is 3560 Us Highway 301 S, Smithfield, NC and can be reached out via phone at 919-710-9895.

Location: 3560 Us Highway 301 S, Smithfield, NC, 27577-2962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073119079
Provider Name
Lastazia Backus
Credential
Provider Entity Type
Individual
Gender
Female
Address
3560 Us Highway 301 S, Smithfield, NC, 27577-2962
Phone Number
919-710-9895
Fax Number
Provider Enumeration Date
12/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3560 Us Highway 301 S
City
Smithfield
State
North Carolina
Zip
27577-9495
Phone Number
919-710-9895
Fax Number
person
Provider Business Mailing Address Details
Address
3560 Us Highway 301 S
City
Smithfield
State
North Carolina
Zip
27577-9495
Phone Number
919-710-9895
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
17361 (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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