Individual ProviderKendra Pena-CollazoMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10828 Gravelly Lake Dr SW Ste 205, Lakewood, WA 98499-1346(253) 260-3307PECOS EnrollmentBased on the most recent information from CMS, provider Kendra Pena-Collazo 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 ID1548811532Provider TypeIndividualFull NamePena-Collazo, KendraGenderFemaleSole ProprietorYesEnumeration Date9/22/2019Last Updated9/22/2019Contact InformationPractice LocationPractice Address10828 Gravelly Lake Dr SW Ste 205, Lakewood, WA 98499-1346Phone(253) 260-3307FaxUnlisted FaxMailing LocationMailing Address10828 Gravelly Lake Dr SW, Lakewood, WA 98499-1334Phone(253) 260-3307FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60957357Washington