Individual ProviderSydney DickinsonMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8909 Gravelly Dr SW, Lakewood, WA 98499-3101(253) 584-1144PECOS EnrollmentBased on the most recent information from CMS, provider Sydney Dickinson 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 ID1649622036Provider TypeIndividualFull NameDickinson, SydneyCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date7/8/2016Last Updated7/8/2016Contact InformationPractice LocationPractice Address8909 Gravelly Dr SW, Lakewood, WA 98499-3101Phone(253) 584-1144Fax(253) 588-5060Mailing LocationMailing Address8909 Gravelly Dr SW, Lakewood, WA 98499-3101Phone(253) 584-1144Fax(253) 588-5060Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60643890Washington