Individual provider · Type 1 NPI
Tracy McCallum, LMT
Massage Therapist · Portland, ME
NPI number
1174472864
Active
Practice location
44 Clinton St
Portland, ME 04103-3206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MT801 (ME) |
| Massage Therapist Primary | 225700000X | 28972 (OR) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1174472864
Tracy McCallum, LMT's National Provider Identifier is 1174472864, issued on Jan 26, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, ME. The record was last updated on Jan 26, 2026.