Individual ProviderVicky Wingkei TamMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address680 NW Gilman Blvd, Ste A1, Issaquah, WA 98027-2446(425) 427-6562PECOS EnrollmentBased on the most recent information from CMS, provider Vicky Wingkei Tam 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 10:58 AM.Profile DetailsProvider ID1356916159Provider TypeIndividualFull NameTam, Vicky WingkeiCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date5/24/2021Last Updated5/24/2021Contact InformationPractice LocationPractice Address680 NW Gilman Blvd, Ste A1, Issaquah, WA 98027-2446Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address680 NW Gilman Blvd Ste A1, Issaquah, WA 98027-2446PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA61154509Washington