Individual ProviderAmy Alisa LortieMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address211 4th St, Ste. 107, Juneau, AK 99801-1191(907) 321-5689PECOS EnrollmentBased on the most recent information from CMS, provider Amy Alisa Lortie 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 ID1477911600Provider TypeIndividualFull NameLortie, Amy AlisaCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date2/2/2016Last Updated2/2/2016Contact InformationPractice LocationPractice Address211 4th St, Ste. 107, Juneau, AK 99801-1191Phone(907) 321-5689FaxUnlisted FaxMailing LocationMailing Address211 4th St, Ste. 107, Juneau, AK 99801-1191Phone(907) 321-5689FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense104631Alaska