Individual ProviderDavid HamMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2203 Jordan Ave, Juneau, AK 99801-8050(907) 789-9549PECOS EnrollmentBased on the most recent information from CMS, provider David Ham 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 ID1689101461Provider TypeIndividualFull NameHam, DavidGenderMaleSole ProprietorYesEnumeration Date5/11/2017Last Updated5/11/2017Contact InformationPractice LocationPractice Address2203 Jordan Ave, Juneau, AK 99801-8050Phone(907) 789-9549FaxUnlisted FaxMailing LocationMailing Address2203 Jordan Ave, Juneau, AK 99801-8050PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense101565Alaska