Individual ProviderBrandey VickeryMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address33650 6th Ave S, Suite 100, Federal Way, WA 98003-3307(253) 942-3303(509) 885-6892PECOS EnrollmentBased on the most recent information from CMS, provider Brandey Vickery 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 ID1548679012Provider TypeIndividualFull NameVickery, BrandeyCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date8/8/2014Last Updated8/8/2014Contact InformationPractice LocationPractice Address33650 6th Ave S, Suite 100, Federal Way, WA 98003-3307Phone(253) 942-3303FaxUnlisted FaxMailing LocationMailing Address28640 27th Pl S, Federal Way, WA 98003-3307Phone(509) 885-6892FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60484302Washington