MEDICARE: LUMAN MO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT138304	TX

General Provider Information

NPI Number	:	1437985686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUMAN MO

Provider Business Mailing Address
First Line	:	7805 CHADDINGTON CT
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-6728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7805 CHADDINGTON CT
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-6728
Country	:	US
Telephone Number	:	405-385-4939
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2024
Last Update Date	:	09/12/2024

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Directions to “ LUMAN MO ” Practice Location

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