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Sharese Anderson

Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

32015 1st Ave S, Federal Way, WA 98003-5701

PECOS Enrollment

Based on the most recent information from CMS, provider Sharese Anderson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033236997
Provider Type
Individual
Full Name
Anderson, Sharese
Credential
LMP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/24/2007
Last Updated
7/8/2007

Contact Information

Practice Location

32015 1st Ave S, Federal Way, WA 98003-5701

(253) 927-9382

Unlisted Fax

Mailing Location

1011 E 30th St, Tacoma, WA 98404-3204

(253) 927-9382

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225700000X Primary	Description Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License MA00022141 Washington

Provider Identifiers

ID	Description	Issuer
ID 0212085	Description Other	Issuer LABOR & INDUSTRIES Washington

Sharese Anderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Latham, Denise A

Fries, Chelsea Marie

Nelson, Reggy

Eafford, Antwan

Swan, Sheri Lynn

Miller, Silke Dorothee

Poland, Cynthia P.

Gale, Catheryn Suzanna

Young, Qwanzetta Latrese

Butler, Meghan Jo