LATASHA MONIQUE JACKSON LMBT NPI 1013585447

NPI Information

NPI: 1013585447
Provider Name: LATASHA MONIQUE JACKSON, LMBT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
78 CHURCH ST NE
CONCORD, NC
ZIP 28025
Phone: (980) 219-1809
Get Directions

Latasha Monique Jackson, LMBT is a massage therapist in Concord, NC. The provider is 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. Latasha Monique Jackson, LMBT NPI is 1013585447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

78 CHURCH ST NE
CONCORD, NC
ZIP 28025-757
Phone: (980) 219-1809

The enumeration date for this NPI number is 6/13/2021 and was last updated on 6/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		11988	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »