Individual ProviderGrace Faye GordonMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9309 Glacier Hwy Ste B106, Juneau, AK 99801-9300(907) 789-1344PECOS EnrollmentBased on the most recent information from CMS, provider Grace Faye Gordon 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 ID1346890142Provider TypeIndividualFull NameGordon, Grace FayeCredentialLMTGenderFemaleSole ProprietorNoEnumeration Date9/13/2019Last Updated9/13/2019Contact InformationPractice LocationPractice Address9309 Glacier Hwy Ste B106, Juneau, AK 99801-9300Phone(907) 789-1344FaxUnlisted FaxMailing LocationMailing Address9309 Glacier Hwy Ste B106, Juneau, AK 99801-9300Phone(907) 789-1344FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense102032Alaska