MEDICARE: MARJORIE LUCK LMT

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	MA105146	FL

General Provider Information

NPI Number	:	1508725565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE LUCK LMT

Provider Business Mailing Address
First Line	:	321 N MANGOUSTINE AVE
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1098
Country	:	US
Telephone Number	:	407-539-3950
Fax Number	:	407-539-2661

Provider Business Practice Location Address
First Line	:	321 N MANGOUSTINE AVE
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1098
Country	:	US
Telephone Number	:	407-539-3950
Fax Number	:	407-539-2661

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “ MARJORIE LUCK LMT” Practice Location

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