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

TaxonomyCodeLicense
Massage Therapist 225700000X19490 (NC)
Massage Therapist Primary 225700000X12413 (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.