Individual ProviderShanelle A WilliamsMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address111 S 340th St, Unit H, Federal Way, WA 98003-6604(206) 954-8974PECOS EnrollmentBased on the most recent information from CMS, provider Shanelle A Williams 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 2 days ago.Profile DetailsProvider ID1396031050Provider TypeIndividualFull NameWilliams, Shanelle ACredentialLMPGenderFemaleSole ProprietorYesEnumeration Date6/21/2011Last Updated6/21/2011Contact InformationPractice LocationPractice Address111 S 340th St, Unit H, Federal Way, WA 98003-6604Phone(206) 954-8974FaxUnlisted FaxMailing LocationMailing Address111 S 340th St, Unit H, Federal Way, WA 98003-6604Phone(206) 954-8974FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60197021Washington