Leslie Carol Blackmon, LMT

NPI #1053173203 in Hampstead, North Carolina

Provider Information

NPI Number: 1053173203
Entity Type: Individual
Name: Leslie Carol Blackmon, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 24, 2024
Last Updated: Jan 24, 2024

Practice Location

Address: 18676 US HIGHWAY 17
City: Hampstead
State: North Carolina
ZIP Code: 28443-4049
Phone: (910) 821-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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