Individual ProviderAlexis HolstedMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9873 Bridgeport Way SW, Lakewood, WA 98499-2895(253) 588-1707(253) 355-0152PECOS EnrollmentBased on the most recent information from CMS, provider Alexis Holsted 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 ID1497152870Provider TypeIndividualFull NameHolsted, AlexisGenderFemaleSole ProprietorNoEnumeration Date12/1/2014Last Updated12/26/2019Contact InformationPractice LocationPractice Address9873 Bridgeport Way SW, Lakewood, WA 98499-2895Phone(253) 588-1707FaxUnlisted FaxMailing LocationMailing Address9873 Bridgeport Way SW, Lakewood, WA 98499-2895Phone(253) 355-0152FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60493787Washington