Individual ProviderBrian ForemanMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1648 So. 310th St., Suite 5a, Federal Way, WA 98003(253) 941-1212(253) 520-0158PECOS EnrollmentBased on the most recent information from CMS, provider Brian Foreman 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 ID1952466765Provider TypeIndividualFull NameForeman, BrianTitleMr.CredentialL.M.P.GenderMaleSole ProprietorYesEnumeration Date12/22/2006Last Updated12/8/2014Contact InformationPractice LocationPractice Address1648 So. 310th St., Suite 5a, Federal Way, WA 98003Phone(253) 941-1212Fax(253) 941-1212Mailing LocationMailing Address2235 SW 330th St, Federal Way, WA 98023-2888Phone(253) 520-0158Fax(253) 854-9860Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00005278WashingtonProvider IdentifiersIDDescriptionIssuerID73217DescriptionOtherIssuerL & I NUMBERWashington