MR. TRACY SCOTT MACCALLUM LMT NPI 1780709899

NPI Information

MR. Tracy Scott Maccallum, LMT is a specialist in Riverside, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Tracy Scott Maccallum, LMT NPI is 1780709899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6926 BROCKTON AVE
#8
RIVERSIDE, CA
ZIP 92506-804
Phone: (951) 347-5179
Fax: (951) 779-9541

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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