Individual ProviderCarol Jean EmeryMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6501 Motor Ave SW, Lakewood, WA 98499-1579(253) 861-9691(425) 931-4851PECOS EnrollmentBased on the most recent information from CMS, provider Carol Jean Emery 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 ID1780723734Provider TypeIndividualFull NameEmery, Carol JeanCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date2/6/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address6501 Motor Ave SW, Lakewood, WA 98499-1579Phone(253) 861-9691FaxUnlisted FaxMailing LocationMailing Address10721 111th Ave SW, Tacoma, WA 98498-1484Phone(425) 931-4851FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00020996Washington