Individual ProviderMaureen M GrahamMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9669 Bridgeport Way SW, Lakewood, WA 98499-2803(253) 238-3990PECOS EnrollmentBased on the most recent information from CMS, provider Maureen M Graham 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 ID1104943075Provider TypeIndividualFull NameGraham, Maureen MTitleMrs.CredentialLMPGenderFemaleSole ProprietorNoEnumeration Date3/23/2007Last Updated9/12/2013Contact InformationPractice LocationPractice Address9669 Bridgeport Way SW, Lakewood, WA 98499-2803Phone(253) 238-3990Fax(253) 238-1733Mailing LocationMailing Address9669 Bridgeport Way SW, Lakewood, WA 98499-2803Phone(253) 238-3990Fax(253) 238-1733Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00013322Washington