Individual ProviderKyung Bok ChoiMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9115 S Tacoma Way, Suite 109, Lakewood, WA 98499-4400(253) 582-5500PECOS EnrollmentBased on the most recent information from CMS, provider Kyung Bok Choi 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 ID1366632622Provider TypeIndividualFull NameChoi, Kyung BokTitleMr.CredentialLMPGenderMaleSole ProprietorNoEnumeration Date8/1/2007Last Updated8/1/2007Contact InformationPractice LocationPractice Address9115 S Tacoma Way, Suite 109, Lakewood, WA 98499-4400Phone(253) 582-5500Fax(253) 582-6171Mailing LocationMailing Address9115 S Tacoma Way, Suite 109, Lakewood, WA 98499-4400Phone(253) 582-5500Fax(253) 582-6171Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00017421Washington