Individual ProviderDenise A LathamMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address32717 1st Ave S Ste 9, Federal Way, WA 98003-5758(253) 874-6620PECOS EnrollmentBased on the most recent information from CMS, provider Denise A Latham 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 ID1427217108Provider TypeIndividualFull NameLatham, Denise ACredentialLMPGenderFemaleSole ProprietorNoEnumeration Date6/6/2008Last Updated6/6/2008Contact InformationPractice LocationPractice Address32717 1st Ave S Ste 9, Federal Way, WA 98003-5758Phone(253) 874-6620Fax(253) 874-2542Mailing LocationMailing Address32717 1st Ave S Ste 9, Federal Way, WA 98003-5758Phone(253) 874-6620Fax(253) 874-2542Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60012033Washington