| Lastazia Backus, | |
|
3560 Us Highway 301 S, Smithfield, NC 27577-9495 | |
| (919) 710-9895 | |
| Not Available |
| Full Name | Lastazia Backus |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 3560 Us Highway 301 S, Smithfield, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073119079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 17361 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lastazia Backus, Po Box 2962, Smithfield, NC 27577-2962 Ph: () - | Lastazia Backus, 3560 Us Highway 301 S, Smithfield, NC 27577-9495 Ph: (919) 710-9895 |
Mrs. Jewal Velore Knight, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3560 Us Highway 301 S, Smithfield, NC 27577 Phone: 919-710-9895 Fax: 919-205-1532 | |
Mr. Mckinley Bernard Knight, LMBT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3560 Us Highway 301 S, Smithfield, NC 27577 Phone: 919-710-9895 Fax: 919-205-1532 | |
Chandra Davis, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3560 Us Highway 301 S, Smithfield, NC 27577 Phone: 919-928-1285 | |
Taylor Ryan Washburn, LMBT 14448 Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Landfall Ln, Smithfield, NC 27577 Phone: 336-399-0180 | |
Relax Renew Rejuvenate Llc Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3560 Us Highway 301 S, Smithfield, NC 27577 Phone: 919-710-9895 Fax: 919-205-1532 |