Individual ProviderLily IlnitskyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2130 S 314th St, Federal Way, WA 98003-5479(253) 709-3649PECOS EnrollmentBased on the most recent information from CMS, provider Lily Ilnitsky does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003026022Provider TypeIndividualFull NameIlnitsky, LilyGenderFemaleSole ProprietorYesEnumeration Date5/22/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2130 S 314th St, Federal Way, WA 98003-5479Phone(253) 709-3649FaxUnlisted FaxMailing LocationMailing Address30823 18th Ave S Apt B202, Federal Way, WA 98003-4946Phone(253) 709-3649FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00018516Washington