Individual ProviderEric Keith YoungMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address622 S 320th St Ste B, Federal Way, WA 98003-5263(253) 838-7300(253) 365-9804PECOS EnrollmentBased on the most recent information from CMS, provider Eric Keith Young 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 ID1598274169Provider TypeIndividualFull NameYoung, Eric KeithGenderMaleSole ProprietorYesEnumeration Date9/26/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address622 S 320th St Ste B, Federal Way, WA 98003-5263Phone(253) 838-7300Fax(253) 838-0505Mailing LocationMailing Address829 S Macarthur St, Tacoma, WA 98465-1821Phone(253) 365-9804Fax(253) 838-0505Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60681717Washington