Individual ProviderBrandon BlanchardMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5605 100th St SW, Ste. B, Lakewood, WA 98499-2710(253) 284-9800(630) 296-2222PECOS EnrollmentBased on the most recent information from CMS, provider Brandon Blanchard 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 ID1225480536Provider TypeIndividualFull NameBlanchard, BrandonCredentialMTGenderMaleSole ProprietorNoEnumeration Date7/11/2016Last Updated8/15/2016Contact InformationPractice LocationPractice Address5605 100th St SW, Ste. B, Lakewood, WA 98499-2710Phone(253) 284-9800Fax(253) 284-9801Mailing LocationMailing Address790 Remington Blvd, Bolingbrook, IL 60440-4909Phone(630) 296-2222FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense60656978Washington