Individual
TRACY MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
44 CLINTON ST, PORTLAND, ME 04103-3206
(360) 809-0739
Mailing address
44 CLINTON ST, PORTLAND, ME 04103-3206
(360) 809-0739
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28972
OR
225700000X
Massage Therapist
MT801
ME
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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