Individual provider · Type 1 NPI
Jason Lucas
Massage Therapist · Charlotte, NC
NPI number
1336801968
Active
Practice location
516 Eastway Dr
Charlotte, NC 28205-1421
Mailing address
PO Box 912
Fort Mill, SC 29716-0912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 19490 (NC) |
| Massage Therapist Primary | 225700000X | 12413 (SC) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1336801968
Jason Lucas's National Provider Identifier is 1336801968, issued on Oct 11, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 11, 2021.