Tami Lynn Backstrom, L.M.T

Contractor · Douglasville, GA

Individual Active NPI

NPI number 1902135205

Practice location

7193 Douglas Blvd Ste 103a
Douglasville, GA 30135-1540
Phone
(770) 845-4407

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NPI record

NPI
1902135205
Entity type
Individual (Type 1)
Enumeration date
December 15, 2009
Last updated
December 15, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X MT005428 GA

About Tami Backstrom

Tami Lynn Backstrom, L.M.T is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 7193 Douglas Blvd Ste 103a, Douglasville, GA 30135-1540. The NPI number 1902135205 was assigned on December 15, 2009 and the record was last updated on December 15, 2009.

Tami Backstrom lists a license in the registry: #MT005428 (GA) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tami Lynn Backstrom, L.M.T?

The NPI number is 1902135205.

What is the phone number of Tami Backstrom?

The phone number listed for the practice location is (770) 845-4407.

Where is Tami Backstrom located?

7193 Douglas Blvd Ste 103a, Douglasville, GA 30135-1540.

What is the taxonomy code for Tami Backstrom?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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