Individual ProviderKarla Wixom ButtMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address930 S 336th St, Federal Way, WA 98003-6384(253) 508-6729PECOS EnrollmentBased on the most recent information from CMS, provider Karla Wixom Butt 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 ID1699123455Provider TypeIndividualFull NameButt, Karla WixomCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date6/1/2016Last Updated6/1/2016Contact InformationPractice LocationPractice Address930 S 336th St, Federal Way, WA 98003-6384Phone(253) 508-6729FaxUnlisted FaxMailing LocationMailing Address26524 19th Pl S, Des Moines, WA 98198-9209Phone(253) 508-6729FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 60632468Washington