Look up the most recent NPI and PECOS records

Eden Massage Therapy

Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

1727 S 316th St Ste 201, Federal Way, WA 98003-5499

PECOS Enrollment

Based on the most recent information from CMS, provider Eden Massage Therapy does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518514496
Provider Type
Organization
Full Name
Eden Massage Therapy

Subpart
No
Enumeration Date
8/24/2019
Last Updated
9/10/2019

Contact Information

Practice Location

1727 S 316th St Ste 201, Federal Way, WA 98003-5499

(253) 835-6090

Unlisted Fax

Mailing Location

PO Box 3858, Federal Way, WA 98063-3858

(253) 835-6090

Unlisted Fax

Authorized Official

Kim, Shirley Jin (Owner)

(253) 835-6090

Provider Taxonomies

Code	Description	License
Code 225700000X Primary	Description Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

Eden Massage Therapy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Smith, Touraan Marque

Newton-Rhodes, Laura F

Albert, Rebecca J

Harris, Devon L

Townsend, Aleciamarie Nicole

Miller, Silke Dorothee

Nhem, Jessica Sokha

Young, Qwanzetta Latrese

Green, Tyrone Lamonte

Hill, Janese