Individual ProviderTraci K GilmourMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9343 Rivercourt Way, Juneau, AK 99801-9629(907) 790-2337PECOS EnrollmentBased on the most recent information from CMS, provider Traci K Gilmour 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 ID1316305758Provider TypeIndividualFull NameGilmour, Traci KCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date1/30/2016Last Updated1/30/2016Contact InformationPractice LocationPractice Address9343 Rivercourt Way, Juneau, AK 99801-9629Phone(907) 790-2337FaxUnlisted FaxMailing LocationMailing Address9343 Rivercourt Way, Juneau, AK 99801-9629Phone(907) 790-2337FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID102012DescriptionOtherIssuerSTATE OF ALASKA PROFESSIONAL LICENSEAlaska