Individual ProviderDanielle BosemanMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10828 Gravelly Lake Dr SW Ste 112, Lakewood, WA 98499-1300(210) 204-9588PECOS EnrollmentBased on the most recent information from CMS, provider Danielle Boseman 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 ID1699514836Provider TypeIndividualFull NameBoseman, DanielleGenderFemaleSole ProprietorYesEnumeration Date5/20/2024Last Updated5/20/2024Contact InformationPractice LocationPractice Address10828 Gravelly Lake Dr SW Ste 112, Lakewood, WA 98499-1300Phone(210) 204-9588FaxUnlisted FaxMailing LocationMailing Address2606 92nd St S, Lakewood, WA 98499-9376Phone(210) 204-9588FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA61542302Washington