Individual ProviderErika Alice DancerMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5423 110th St SW, Apta10, Lakewood, WA 98499-3508(757) 472-3006PECOS EnrollmentBased on the most recent information from CMS, provider Erika Alice Dancer 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 ID1770804056Provider TypeIndividualFull NameDancer, Erika AliceCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date6/21/2010Last Updated6/21/2010Contact InformationPractice LocationPractice Address5423 110th St SW, Apta10, Lakewood, WA 98499-3508Phone(757) 472-3006FaxUnlisted FaxMailing LocationMailing Address5423 110th St SW, Apta10, Lakewood, WA 98499-3508Phone(757) 472-3006FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60133729Washington