Individual ProviderAmber Nicole RaederMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1010 S 336th St, Suite 102, Federal Way, WA 98003-6385(253) 838-7300(253) 797-4431PECOS EnrollmentBased on the most recent information from CMS, provider Amber Nicole Raeder 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 ID1326383308Provider TypeIndividualFull NameRaeder, Amber NicoleCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date12/3/2012Last Updated1/7/2013Contact InformationPractice LocationPractice Address1010 S 336th St, Suite 102, Federal Way, WA 98003-6385Phone(253) 838-7300FaxUnlisted FaxMailing LocationMailing Address5710 183rd Ave E, Unit #1, Lake Tapps, WA 98391-8925Phone(253) 797-4431FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60320401Washington