Individual ProviderInna VitrukMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1010 S 336th St, Suite 120, Federal Way, WA 98003-6385(253) 874-9001PECOS EnrollmentBased on the most recent information from CMS, provider Inna Vitruk 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 ID1578831293Provider TypeIndividualFull NameVitruk, InnaCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date12/8/2011Last Updated3/10/2015Contact InformationPractice LocationPractice Address1010 S 336th St, Suite 120, Federal Way, WA 98003-6385Phone(253) 874-9001Fax(253) 874-9051Mailing LocationMailing Address1010 S 336th St, Suite 120, Federal Way, WA 98003-6385Phone(253) 874-9001Fax(253) 874-9051Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense989840Washington