Individual ProviderCheyenne Mary ReidMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9701 S Tacoma Way Ste 106, Lakewood, WA 98499-4490(253) 588-8340(419) 360-0475PECOS EnrollmentBased on the most recent information from CMS, provider Cheyenne Mary Reid 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 ID1972071520Provider TypeIndividualFull NameReid, Cheyenne MaryTitleMrs.CredentialLMTGenderFemaleSole ProprietorYesEnumeration Date11/12/2018Last Updated11/12/2018Contact InformationPractice LocationPractice Address9701 S Tacoma Way Ste 106, Lakewood, WA 98499-4490Phone(253) 588-8340FaxUnlisted FaxMailing LocationMailing Address8610 83rd Street Ct SW Apt 324, Lakewood, WA 98498-4763Phone(419) 360-0475FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense60858316Washington