Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tracy Scott Maccallum, LMT

Individual provider Specialist · NPI 1780709899

Mr. Tracy Scott Maccallum, LMT is a Specialist in Riverside, California. Practices as a sole proprietor. Licensed in New Mexico and Texas.

Licensed in
NM, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

6926 Brockton Ave #8
Riverside, CA 92506-3804
Phone: (951) 347-5179
Fax: (951) 779-9541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MT007176 (TX)
Specialist Taxonomy 174400000X · Licence 1462 (NM)

Record details

NPI number1780709899
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESSeptember 11, 2025

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