Individual ProviderAriel AndersonMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11012 Gravelly Lake Dr SW, Lakewood, WA 98499-1332(253) 584-0183PECOS EnrollmentBased on the most recent information from CMS, provider Ariel Anderson 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 ID1417398702Provider TypeIndividualFull NameAnderson, ArielCredentialLMTGenderFemaleSole ProprietorNoEnumeration Date7/15/2013Last Updated2/10/2020Contact InformationPractice LocationPractice Address11012 Gravelly Lake Dr SW, Lakewood, WA 98499-1332Phone(253) 584-0183FaxUnlisted FaxMailing LocationMailing Address11012 Gravelly Lake Dr SW, Lakewood, WA 98499-1332Phone(253) 584-0183FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60340114WashingtonProvider IdentifiersIDDescriptionIssuerID0312877DescriptionOtherIssuerL&IWashingtonIDMA60340114DescriptionOtherIssuerWA STATE DEPT. HEALTHWashington