Individual ProviderTraci K GilmourMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9343 Rivercourt Way, Juneau, AK 99801-9629(907) 790-2337PECOS EnrollmentBased on the most recent information from CMS, provider Traci K Gilmour 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 34 days ago.Profile DetailsProvider ID1316305758Provider TypeIndividualFull NameGilmour, Traci KCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date1/30/2016Last Updated1/30/2016Contact InformationPractice LocationPractice Address9343 Rivercourt Way, Juneau, AK 99801-9629Phone(907) 790-2337FaxUnlisted FaxMailing LocationMailing Address9343 Rivercourt Way, Juneau, AK 99801-9629Phone(907) 790-2337FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID102012DescriptionOtherIssuerSTATE OF ALASKA PROFESSIONAL LICENSEAlaska