Individual ProviderPatricia Grace BrockwellMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address32015 1st Ave S, Federal Way, WA 98003-5701(253) 927-9382(206) 753-8270PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Grace Brockwell 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 ID1003083411Provider TypeIndividualFull NameBrockwell, Patricia GraceCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date5/14/2008Last Updated5/14/2008Contact InformationPractice LocationPractice Address32015 1st Ave S, Federal Way, WA 98003-5701Phone(253) 927-9382FaxUnlisted FaxMailing LocationMailing Address18118 96th Ave E, Puyallup, WA 98375-6326Phone(206) 753-8270FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00023917Washington