Mrs. Natasha Dawn Back
Massage Therapist
2312 Crill Ave Suite 1b
Palatka
, Florida 32177-4828
Mrs. Natasha Dawn Back
Massage Therapist
2312 Crill Ave Suite 1b
Palatka
, Florida 32177-4828
(386) 649-8678
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mrs. Natasha Dawn Back
- 794 County Road 308b
- Pomona Park, FL
- Zip : 32181-2316
- Fax : (386) 649-8678
- Phone : (386) 649-8678
Second Address
- Mrs. Natasha Dawn Back
- 2312 Crill Ave Suite 1b
- Palatka, FL
- Zip : 32177-4828
- Fax : (386) 385-3125
- Phone : (386) 385-3046
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What type of doctor is Mrs. Natasha Dawn Back
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Is Mrs. Natasha Dawn Back a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 55834 | FL |
National Provider Identifier
| NPI | 1013239516 |
|---|---|
| Provider Name | Mrs. Natasha Dawn Back |
| First Address | Pomona Park, FL 32181-2316 |
| Second Address | Palatka, FL 32177-4828 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2010 |
| Last Update Date | 24/02/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.