Individual ProviderAmanda G DoughtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8615 S Tacoma Way, Lakewood, WA 98499-4542(253) 582-6625PECOS EnrollmentBased on the most recent information from CMS, provider Amanda G Doughty 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 ID1639977879Provider TypeIndividualFull NameDoughty, Amanda GTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date3/4/2025Last Updated3/4/2025Contact InformationPractice LocationPractice Address8615 S Tacoma Way, Lakewood, WA 98499-4542Phone(253) 582-6625Fax(336) 725-3588Mailing LocationMailing Address8615 S Tacoma Way, Lakewood, WA 98499-4542Phone(253) 582-6625Fax(336) 725-3588Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60473007Washington