LATASHA MONIQUE JACKSON LMBT
NPI 1013585447
Massage Therapist in Concord, NC

Active since June 13, 2021
78 CHURCH ST NE, CONCORD, NC 28025(980) 219-1809 Get Directions Write a Review

NPPES record last updated: June 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Latasha Monique Jackson Lmbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATASHA MONIQUE JACKSON LMBT (NPI 1013585447) is an individual massage therapist in Concord, North Carolina, licensed in North Carolina (11988) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1013585447
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLATASHA MONIQUE JACKSONCredential: LMBT
Location Address78 CHURCH ST NEConcord, NC 28025-4757
Mailing Address1270 Pine Ridge RdChina Grove, NC 28023-8601 · (980) 219-1809
Sole ProprietorNo
Enumeration DateJune 13, 2021
NPPES CertifiedJune 13, 2021
NPI 1013585447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NC · 11988
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.
78 CHURCH ST NE, Concord, NC 28025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latasha Jackson's NPI number?

The NPI number for Latasha Jackson is 1013585447. It was assigned to this individual provider in the NPPES registry on June 13, 2021.

Where is Latasha Jackson located?

Latasha Jackson practices at 78 Church St NE, Concord, NC 28025. The listed phone number is (980) 219-1809.

What is Latasha Jackson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Latasha Jackson was last updated on June 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.