Individual ProviderMischell Marie HallMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7521 Bridgeport Way W, Suite B, Lakewood, WA 98499(253) 475-0118PECOS EnrollmentBased on the most recent information from CMS, provider Mischell Marie Hall 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 ID1902132590Provider TypeIndividualFull NameHall, Mischell MarieTitleMrs.CredentialL.M.P.GenderFemaleSole ProprietorYesEnumeration Date11/2/2009Last Updated11/2/2009Contact InformationPractice LocationPractice Address7521 Bridgeport Way W, Suite B, Lakewood, WA 98499Phone(253) 475-0118Fax(253) 475-0174Mailing LocationMailing AddressP.O. Box 88021, Steilacoom, WA 98388-0021PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60002485Washington