Individual ProviderTina Marie CollinsMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9004 Bridgeport Way SW, Lakewood, WA 98499-2416(253) 588-6343PECOS EnrollmentBased on the most recent information from CMS, provider Tina Marie Collins 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 ID1366698029Provider TypeIndividualFull NameCollins, Tina MarieCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date8/13/2008Last Updated8/13/2008Contact InformationPractice LocationPractice Address9004 Bridgeport Way SW, Lakewood, WA 98499-2416Phone(253) 588-6343Fax(253) 588-1001Mailing LocationMailing Address9004 Bridgeport Way SW, Lakewood, WA 98499-2416Phone(253) 588-6343Fax(253) 588-1001Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60012486WashingtonProvider IdentifiersIDDescriptionIssuerIDMA60012486DescriptionOtherIssuerWASHINGTON STATE DEPARTMENT OF HEALTHWashington