MEDICARE: JULIE MCCAA LMT

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	225700000X	Massage Therapist	29428	OR

General Provider Information

NPI Number	:	1376402990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MCCAA LMT

Provider Business Mailing Address
First Line	:	2549 PHIPPS CIR NE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97305-1950
Country	:	US
Telephone Number	:	971-332-6626
Fax Number	:

Provider Business Practice Location Address
First Line	:	2549 PHIPPS CIR NE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97305-1950
Country	:	US
Telephone Number	:	971-332-6626
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ JULIE MCCAA LMT” Practice Location

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