Individual ProviderYani GallagherMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8909 Gravelly Lake Dr SW, Lakewood, WA 98499-3101(253) 584-1144(360) 790-4095PECOS EnrollmentBased on the most recent information from CMS, provider Yani Gallagher 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 ID1396156709Provider TypeIndividualFull NameGallagher, YaniGenderFemaleSole ProprietorNoEnumeration Date5/20/2014Last Updated5/20/2014Contact InformationPractice LocationPractice Address8909 Gravelly Lake Dr SW, Lakewood, WA 98499-3101Phone(253) 584-1144FaxUnlisted FaxMailing LocationMailing Address4707 S 12th St, Tacoma, WA 98405-1226Phone(360) 790-4095FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense60312470Washington