Individual ProviderLacey Anne DavidsonMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9307 57th Ave SW Apt U104, Lakewood, WA 98499-6133(253) 754-7216PECOS EnrollmentBased on the most recent information from CMS, provider Lacey Anne Davidson 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 ID1336024447Provider TypeIndividualFull NameDavidson, Lacey AnneGenderFemaleSole ProprietorYesEnumeration Date8/7/2025Last Updated8/7/2025Contact InformationPractice LocationPractice Address9307 57th Ave SW Apt U104, Lakewood, WA 98499-6133Phone(253) 754-7216FaxUnlisted FaxMailing LocationMailing Address9307 57th Ave SW Apt U104, Lakewood, WA 98499-6133Phone(253) 754-7216FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60806117Washington