NPI 1053173203 · live from the CMS NPI Registry
Leslie Carol Blackmon, LMT
Massage Therapist in Hampstead, NC. National Provider Identifier 1053173203, active.
NPI record
| NPI | 1053173203 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 18676 Us Highway 17, Hampstead, NC 28443 |
| Practice phone | 910-821-1700 |
| Enumerated | January 24, 2024 |
| Last updated | January 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 6389 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.