MR. TRACY MACCALLUM, LMT
Specialist
Active
Individual
NPI: 1780709899
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | MT007176 (TX) |
Frequently Asked Questions
NPI 1780709899 is the National Provider Identifier for MR. TRACY MACCALLUM, LMT, a Specialist provider located in Riverside, CA. This NPI was enumerated on March 20, 2007.
MR. TRACY MACCALLUM, LMT practices at 6926 BROCKTON AVE, #8, Riverside, CA 92506.
Quick Facts
- NPI
- 1780709899
- Type
- Individual
- Enumerated
- Mar 20, 2007
- Last Updated
- Sep 11, 2025
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