NPI Search for Physicians and Health Care Providers
MRS. NATASHA DAWN BACK
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1013239516
Individual Registrant:
MRS. NATASHA DAWN BACK
Gender: F
Sole Proprietor
Location and contact information for practice:
2312 CRILL AVE SUITE 1B PALATKA, FL 32177-4828 US
Tel: 386-385-3046 Fax: 386-385-3125
Contact information for business:
794 COUNTY ROAD 308B POMONA PARK, FL 32181-2316 US
Tel: 386-649-8678 Fax: 386-649-8678
Registration Information:
NPI: 1013239516
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist
| FL | MA 55834 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS FL - Page 1