IndividualActive
Cody Lucas, MT
NPI 1760069876 · Massage Therapist · Fayetteville, AR
Provider details
- NPI number
- 1760069876
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT
- Sex
- Male
- Sole proprietor
- No
- License
- 8920 (AR)
Mailing address
1572 N Dawn Dr
Fayetteville, AR 72703-6093
Registry dates
- Enumerated
- 2021-03-25
- Last updated
- 2021-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.