Individual ProviderTiffany StaceyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address418 Harris St Ste 317, Juneau, AK 99801-1083(907) 738-6369PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Stacey 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 11:47 AM.Profile DetailsProvider ID1013376946Provider TypeIndividualFull NameStacey, TiffanyCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date2/20/2016Last Updated2/23/2016Contact InformationPractice LocationPractice Address418 Harris St Ste 317, Juneau, AK 99801-1083Phone(907) 738-6369FaxUnlisted FaxMailing LocationMailing AddressPO Box 211231, Auke Bay, AK 99821-1231Phone(907) 738-6369FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense101927Alaska