MEDICARE: TRACY LYNN CALAMAIO D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3209	OK

General Provider Information

NPI Number	:	1053451013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY LYNN CALAMAIO D.C.

Provider Business Mailing Address
First Line	:	7716 NW 85TH TER
Second Line	:	STE A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-3315
Country	:	US
Telephone Number	:	405-728-3138
Fax Number	:	405-728-9107

Provider Business Practice Location Address
First Line	:	7716 NW 85TH TER
Second Line	:	STE A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-3315
Country	:	US
Telephone Number	:	405-728-3138
Fax Number	:	405-728-9107

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	03/07/2018

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