Provider Demographics
NPI:1053451013
Name:CALAMAIO, TRACY LYNN (DC)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:LYNN
Last Name:CALAMAIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7716 NW 85TH TER
Mailing Address - Street 2:STE A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-3315
Mailing Address - Country:US
Mailing Address - Phone:405-728-3138
Mailing Address - Fax:405-728-9107
Practice Address - Street 1:7716 NW 85TH TER
Practice Address - Street 2:STE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-3315
Practice Address - Country:US
Practice Address - Phone:405-728-3138
Practice Address - Fax:405-728-9107
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3209111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor