Individual ProviderRawewan Kampanth-FadnessMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address32015 1st Ave S, Federal Way, WA 98003-5701(253) 927-9382PECOS EnrollmentBased on the most recent information from CMS, provider Rawewan Kampanth-Fadness 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 ID1558522789Provider TypeIndividualFull NameKampanth-Fadness, RawewanGenderFemaleSole ProprietorYesEnumeration Date6/20/2008Last Updated6/20/2008Contact InformationPractice LocationPractice Address32015 1st Ave S, Federal Way, WA 98003-5701Phone(253) 927-9382Fax(253) 661-3284Mailing LocationMailing AddressPO Box 4643, Federal Way, WA 98063-4643Phone(253) 927-9382Fax(253) 661-3284Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00025254Washington