Provider Demographics
NPI:1770952053
Name:MOSER, LUECINDA M (LMT)
Entity type:Individual
Prefix:MRS
First Name:LUECINDA
Middle Name:M
Last Name:MOSER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11509 MARION CENTER RD
Mailing Address - Street 2:
Mailing Address - City:HOAGLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46745-9588
Mailing Address - Country:US
Mailing Address - Phone:260-273-0367
Mailing Address - Fax:
Practice Address - Street 1:11509 MARION CENTER RD
Practice Address - Street 2:
Practice Address - City:HOAGLAND
Practice Address - State:IN
Practice Address - Zip Code:46745-9588
Practice Address - Country:US
Practice Address - Phone:260-273-0367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-17
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMT20902380225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist