Individual ProviderChristine DofredoMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address28815 Pacific Hwy S Ste 6, Federal Way, WA 98003-3876(253) 941-6977PECOS EnrollmentBased on the most recent information from CMS, provider Christine Dofredo 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 2 days ago.Profile DetailsProvider ID1871873166Provider TypeIndividualFull NameDofredo, ChristineCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date8/18/2011Last Updated8/18/2011Contact InformationPractice LocationPractice Address28815 Pacific Hwy S Ste 6, Federal Way, WA 98003-3876Phone(253) 941-6977Fax(253) 941-6929Mailing LocationMailing Address28815 Pacific Hwy S Ste 6, Federal Way, WA 98003-3876Phone(253) 941-6977Fax(253) 941-6929Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60135683WashingtonProvider IdentifiersIDDescriptionIssuerID1154593937DescriptionOtherIssuerGROUP NPIWashington