Individual ProviderGregory SmithMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4585 Thane Rd, Juneau, AK 99801-7706(907) 723-8367PECOS EnrollmentBased on the most recent information from CMS, provider Gregory Smith 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 ID1164188157Provider TypeIndividualFull NameSmith, GregoryCredentialLMTGenderMaleSole ProprietorYesEnumeration Date11/13/2021Last Updated11/13/2021Contact InformationPractice LocationPractice Address4585 Thane Rd, Juneau, AK 99801-7706Phone(907) 723-8367FaxUnlisted FaxMailing LocationMailing Address4585 Thane Rd, Juneau, AK 99801-7706Phone(907) 723-8367FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense184504Alaska