Individual ProviderTia M SmithMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address32123 1st Ave S, Suite A-4, Federal Way, WA 98003-5721(253) 874-5008(206) 488-3784PECOS EnrollmentBased on the most recent information from CMS, provider Tia M Smith 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 ID1053537639Provider TypeIndividualFull NameSmith, Tia MCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date4/18/2007Last Updated10/28/2016Contact InformationPractice LocationPractice Address32123 1st Ave S, Suite A-4, Federal Way, WA 98003-5721Phone(253) 874-5008Fax(253) 874-5024Mailing LocationMailing Address1027 SW 116th St, Seattle, WA 98146-3578Phone(206) 488-3784FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA0020390Washington