Individual ProviderMariya N TkachukMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8909 Gravelly Lake Dr SW, Lakewood, WA 98499-3101(253) 584-1144(206) 613-9811PECOS EnrollmentBased on the most recent information from CMS, provider Mariya N Tkachuk 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 ID1730464975Provider TypeIndividualFull NameTkachuk, Mariya NCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date10/19/2011Last Updated10/19/2011Contact InformationPractice LocationPractice Address8909 Gravelly Lake Dr SW, Lakewood, WA 98499-3101Phone(253) 584-1144FaxUnlisted FaxMailing LocationMailing Address1742 I Pl NE, Auburn, WA 98002-3319Phone(206) 613-9811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 60240995Washington