Individual ProviderMandy FosterMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1107 S 347th Pl, Federal Way, WA 98003-6718(253) 838-3777PECOS EnrollmentBased on the most recent information from CMS, provider Mandy Foster 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 ID1164587333Provider TypeIndividualFull NameFoster, MandyTitleMs.CredentialLMTGenderFemaleSole ProprietorNoEnumeration Date12/27/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1107 S 347th Pl, Federal Way, WA 98003-6718Phone(253) 838-3777Fax(253) 874-6874Mailing LocationMailing Address1107 S 347th Pl, Federal Way, WA 98003-6718Phone(253) 838-3777Fax(253) 874-6874Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00015187WashingtonProvider IdentifiersIDDescriptionIssuerIDMA00015187DescriptionOtherIssuerSTATE LICENSEWashingtonID154199DescriptionOtherIssuerWORKERS COMPENSATIONWashington