Individual provider · Type 1 NPI

Cody Alexander Lucas, MT

Massage Therapist · Fayetteville, AR

NPI number 1760069876 Active

Practice location

767 W North St
Fayetteville, AR 72701-1865

Call (479) 387-7854 Map

Mailing address

1572 N Dawn Dr
Fayetteville, AR 72703-6093

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8920 (AR)

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 1760069876

Cody Alexander Lucas, MT's National Provider Identifier is 1760069876, issued on Mar 25, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, AR. The record was last updated on Mar 25, 2021.