Individual ProviderDorothy NumkenaMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8811 S Tacoma Way, Ste 104, Lakewood, WA 98499-4595(253) 581-8444PECOS EnrollmentBased on the most recent information from CMS, provider Dorothy Numkena 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 ID1659762201Provider TypeIndividualFull NameNumkena, DorothyCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date2/17/2015Last Updated2/17/2015Contact InformationPractice LocationPractice Address8811 S Tacoma Way, Ste 104, Lakewood, WA 98499-4595Phone(253) 581-8444FaxUnlisted FaxMailing LocationMailing Address8811 S Tacoma Way, Ste 104, Lakewood, WA 98499-4595Phone(253) 581-8444FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense60018855Washington