Tracy G Meldrum, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8024531-4701 Issued in UT

Practice address

2348 Kiesel Ave
Ogden, UT 84401-1964

Phone

(801) 528-5066

NPI assigned

Aug 15, 2023

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

Other names 1

• Tracy Meldrum Other name

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.

• Therapeutix Mind & Body Inc

  • Massage Therapist
  • Ogden, UT
  • NPI 1952002768
  NPD
• Therapeutix of Clinton LLC

  • Massage Therapist
  • Clinton, UT
  • NPI 1356122469
  NPD (past)

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1245013069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 KIESEL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011964",
            "telephone_number": "801-528-5066",
            "fax_number": "801-528-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 KIESEL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011964",
            "telephone_number": "801-528-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDRUM",
        "first_name": "TRACY",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "8024531-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "MELDRUM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jesse L. Meeks, D.C.
• Jessica B Meents, PA-C
• Jason Meharry
• Mejken Theurer, LCSW
• Brian Melcher, CSW
• Cara Mellor
• Yonathan Melman, MD/PHD
• Bradley R Melville, MD
• Brian Tyler Melville, D.O.
• Margret Allison Mencer, M.D.

• Massage Therapist in Ogden, UT
• Providers in Ogden, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.