Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latasha Monique Jackson, LMBT

Individual provider Massage Therapist · NPI 1013585447

Latasha Monique Jackson, LMBT is a Massage Therapist in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

78 Church St NE
Concord, NC 28025-4757
Phone: (980) 219-1809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 11988 (NC)

Record details

NPI number1013585447
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMBT
Sole proprietorNo
NPI enumeratedJune 13, 2021
Last updated in NPPESJune 13, 2021
Certification dateJune 13, 2021

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