Individual ProviderAnthony ShawMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10209 Bridgeport Way SW, Ste B-6, Lakewood, WA 98499(253) 678-8825PECOS EnrollmentBased on the most recent information from CMS, provider Anthony Shaw 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 ID1851800551Provider TypeIndividualFull NameShaw, AnthonyGenderMaleSole ProprietorYesEnumeration Date9/25/2017Last Updated2/5/2020Contact InformationPractice LocationPractice Address10209 Bridgeport Way SW, Ste B-6, Lakewood, WA 98499Phone(253) 678-8825FaxUnlisted FaxMailing LocationMailing Address10209 Bridgeport Way SW, Ste B-6, Lakewood, WA 98499Phone(253) 678-8825FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense60491339Washington