Individual ProviderTamera T GlennMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8909 Gravelly Lake Dr SW, Lakewood, WA 98499-3109(253) 584-1144PECOS EnrollmentBased on the most recent information from CMS, provider Tamera T Glenn 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 ID1942367701Provider TypeIndividualFull NameGlenn, Tamera TCredentialLMTGenderFemaleSole ProprietorNoEnumeration Date1/2/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address8909 Gravelly Lake Dr SW, Lakewood, WA 98499-3109Phone(253) 584-1144FaxUnlisted FaxMailing LocationMailing Address8909 Gravelly Lake Dr SW, Lakewood, WA 98499-3109Phone(253) 584-1144FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00021550Washington