Individual ProviderMarcella Jagninet VelazquezMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5605 100th St SW, Lakewood, WA 98499-2710(206) 722-0299(808) 780-5301PECOS EnrollmentBased on the most recent information from CMS, provider Marcella Jagninet Velazquez 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 ID1528764347Provider TypeIndividualFull NameVelazquez, Marcella JagninetCredentialLMTGenderFemaleSole ProprietorNoEnumeration Date2/2/2023Last Updated2/2/2023Contact InformationPractice LocationPractice Address5605 100th St SW, Lakewood, WA 98499-2710Phone(206) 722-0299FaxUnlisted FaxMailing LocationMailing Address1320 Rowan Ct, Dupont, WA 98327-8776Phone(808) 780-5301FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense61345016Washington