Individual ProviderKaitlin Marie YoungMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8909 Gravelly Lake Dr SW Ste B, Lakewood, WA 98499-3101(253) 584-1144PECOS EnrollmentBased on the most recent information from CMS, provider Kaitlin Marie Young 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 ID1801366059Provider TypeIndividualFull NameYoung, Kaitlin MarieCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date11/30/2018Last Updated11/30/2018Contact InformationPractice LocationPractice Address8909 Gravelly Lake Dr SW Ste B, Lakewood, WA 98499-3101Phone(253) 584-1144Fax(253) 588-5060Mailing LocationMailing Address8909 Gravelly Lake Dr SW Ste B, Lakewood, WA 98499-3101Phone(253) 584-1144Fax(253) 588-5060Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA6887804Washington