Individual ProviderKelly A. SanfordMassage 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 Kelly A. Sanford 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 ID1306008024Provider TypeIndividualFull NameSanford, Kelly A.CredentialLMPGenderFemaleSole ProprietorNoEnumeration Date6/25/2008Last Updated6/25/2008Contact 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 ProvidersLicenseMA00014382Washington