Healthcare Provider Details

I. General information

NPI: 1841113495
Provider Name (Legal Business Name): MERCEDEZ CYNTHIA LUCKE-BENEDICT MS,LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6486 N SHADOWS DESERT LN
MARANA AZ
85653-8242
US

IV. Provider business mailing address

6486 N SHADOWS DESERT LN
MARANA AZ
85653-8242
US

V. Phone/Fax

Practice location:
  • Phone: 520-221-6276
  • Fax:
Mailing address:
  • Phone: 520-221-6276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1000440
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: