Individual ProviderCheyenne ColbyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8615 S Tacoma Way, Lakewood, WA 98499-4542(253) 588-3355PECOS EnrollmentBased on the most recent information from CMS, provider Cheyenne Colby 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 ID1194275479Provider TypeIndividualFull NameColby, CheyenneCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date10/10/2016Last Updated10/10/2016Contact InformationPractice LocationPractice Address8615 S Tacoma Way, Lakewood, WA 98499-4542Phone(253) 588-3355FaxUnlisted FaxMailing LocationMailing Address8615 S Tacoma Way, Lakewood, WA 98499-4542Phone(253) 588-3355FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60599889Washington