Individual ProviderPatrina HicksMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2020 S 360th St Apt G104, Federal Way, WA 98003(206) 822-0986PECOS EnrollmentBased on the most recent information from CMS, provider Patrina Hicks 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 ID1922308907Provider TypeIndividualFull NameHicks, PatrinaCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date10/25/2010Last Updated7/9/2018Contact InformationPractice LocationPractice Address2020 S 360th St Apt G104, Federal Way, WA 98003Phone(206) 822-0986FaxUnlisted FaxMailing LocationMailing Address2020 S 360th St Apt G104, Federal Way, WA 98003-7267Phone(206) 822-0986FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60183944Washington