Individual ProviderCorinne BullickMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address418 Harris St, Juneau, AK 99801-1083(907) 321-7781PECOS EnrollmentBased on the most recent information from CMS, provider Corinne Bullick 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 ID1215307806Provider TypeIndividualFull NameBullick, CorinneCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date9/25/2015Last Updated9/25/2015Contact InformationPractice LocationPractice Address418 Harris St, Juneau, AK 99801-1083Phone(907) 321-7781FaxUnlisted FaxMailing LocationMailing AddressPO Box 21161, Juneau, AK 99802-1161Phone(907) 321-7781FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense101366Alaska