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MRS. NATASHA DAWN BACK

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA 55834

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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