MRS. Natasha Dawn Back

NPI #1013239516 in Palatka, Florida

Provider Information

NPI Number: 1013239516
Entity Type: Individual
Name: MRS. Natasha Dawn Back
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 24, 2010
Last Updated: Feb 24, 2010

Practice Location

Address: 2312 CRILL AVE
Address 2: SUITE 1B
City: Palatka
State: Florida
ZIP Code: 32177-4828
Phone: (386) 385-3046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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