Individual ProviderTonya MontanaMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10828 Gravelly Lake Dr SW, Ste 112, Lakewood, WA 98499-1334(253) 582-3348(206) 856-5080PECOS EnrollmentBased on the most recent information from CMS, provider Tonya Montana 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 ID1982035457Provider TypeIndividualFull NameMontana, TonyaGenderFemaleSole ProprietorYesEnumeration Date12/9/2013Last Updated12/9/2013Contact InformationPractice LocationPractice Address10828 Gravelly Lake Dr SW, Ste 112, Lakewood, WA 98499-1334Phone(253) 582-3348FaxUnlisted FaxMailing LocationMailing Address618 N Howard St, Tacoma, WA 98406-1720Phone(206) 856-5080FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60425523Washington