Individual ProviderJill M PeckMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5605 100th St SW, Suite B, Lakewood, WA 98499-2710(253) 284-9800(253) 840-2313PECOS EnrollmentBased on the most recent information from CMS, provider Jill M Peck 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 ID1356362818Provider TypeIndividualFull NamePeck, Jill MTitleMrs.CredentialLMPGenderFemaleSole ProprietorNoEnumeration Date7/21/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address5605 100th St SW, Suite B, Lakewood, WA 98499-2710Phone(253) 284-9800Fax(253) 284-9801Mailing LocationMailing AddressPO Box 731269, Puyallup, WA 98373-0060Phone(253) 840-2313Fax(253) 840-6340Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00022317Washington