Tracey Campos, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT11796 Issued in SD

Practice address

3535 Sturgis Rd Ste 16
Rapid City, SD 57702-2345

Phone

(605) 391-1678

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Body Spa LLC

  • Massage Therapist
  • Rapid City, SD
  • NPI 1902555188
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1235879172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 BRIGHTON ST",
            "city": "SUMMERSET",
            "state": "SD",
            "postal_code": "577189742",
            "telephone_number": "605-391-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 STURGIS RD STE 16",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022345",
            "telephone_number": "605-391-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Ryan Callahan
• Tommaso Cambiaghi
• Camille M. Wood DC PC
• Heather Mae Campbell
• Todd Anthony Campbell, PHARMACIST
• Rebecca Cantral-Allen
• Denise D Carcamo, WHNP-C
• Joseph Carda, M.D.
• Gregory Carder, MAC, LAC
• Michaela Diane Carder, MAC

• Massage Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.