Individual ProviderTimothy BlaisMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7513 Lakewood Dr W, Apt F-9, Lakewood, WA 98499-3163(253) 241-6043PECOS EnrollmentBased on the most recent information from CMS, provider Timothy Blais 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 ID1902106719Provider TypeIndividualFull NameBlais, TimothyTitleMr.GenderMaleSole ProprietorYesEnumeration Date10/26/2010Last Updated10/26/2010Contact InformationPractice LocationPractice Address7513 Lakewood Dr W, Apt F-9, Lakewood, WA 98499-3163Phone(253) 241-6043FaxUnlisted FaxMailing LocationMailing Address7513 Lakewood Dr W, Apt F-9, Lakewood, WA 98499-3163Phone(253) 241-6043FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60190402Washington