Individual ProviderTyler SchultzMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11210 Bridgeport Way SW, Lakewood, WA 98499-3003(253) 579-6105PECOS EnrollmentBased on the most recent information from CMS, provider Tyler Schultz 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 ID1770029902Provider TypeIndividualFull NameSchultz, TylerGenderFemaleSole ProprietorNoEnumeration Date1/11/2017Last Updated1/11/2017Contact InformationPractice LocationPractice Address11210 Bridgeport Way SW, Lakewood, WA 98499-3003Phone(253) 579-6105FaxUnlisted FaxMailing LocationMailing Address11210 Bridgeport Way SW, Lakewood, WA 98499-3003PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60700132Washington