Individual ProviderBrandi PataneMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11122 Gravelly Lake Dr SW, Lakewood, WA 98499-1348(253) 582-3348PECOS EnrollmentBased on the most recent information from CMS, provider Brandi Patane 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 ID1902181522Provider TypeIndividualFull NamePatane, BrandiCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date10/14/2011Last Updated10/14/2011Contact InformationPractice LocationPractice Address11122 Gravelly Lake Dr SW, Lakewood, WA 98499-1348Phone(253) 582-3348FaxUnlisted FaxMailing LocationMailing Address11122 Gravelly Lake Dr SW, Lakewood, WA 98499-1348Phone(253) 582-3348FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60198473Washington