Individual ProviderOleksandr DeviatkaMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4500 Steilacoom Blvd SW, Lakewood, WA 98499-4004(253) 588-5800(253) 266-4506PECOS EnrollmentBased on the most recent information from CMS, provider Oleksandr Deviatka 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 yesterday at 10:51 AM.Profile DetailsProvider ID1104786029Provider TypeIndividualFull NameDeviatka, OleksandrTitleMr.GenderMaleSole ProprietorYesEnumeration Date11/13/2025Last Updated11/13/2025Contact InformationPractice LocationPractice Address4500 Steilacoom Blvd SW, Lakewood, WA 98499-4004Phone(253) 588-5800FaxUnlisted FaxMailing LocationMailing Address316 Bond St, Astoria, OR 97103-4320Phone(253) 266-4506FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerWashington