Individual ProviderSitthida Sukkamon-HolmesMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2243 Jordan Ave, Juneau, AK 99801-8050(907) 790-3371(907) 209-5009PECOS EnrollmentBased on the most recent information from CMS, provider Sitthida Sukkamon-Holmes 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 ID1831608447Provider TypeIndividualFull NameSukkamon-Holmes, SitthidaTitleMrs.CredentialLMTGenderFemaleSole ProprietorYesEnumeration Date9/26/2017Last Updated3/26/2024Contact InformationPractice LocationPractice Address2243 Jordan Ave, Juneau, AK 99801-8050Phone(907) 790-3371FaxUnlisted FaxMailing LocationMailing Address8800 Glacier Hwy Ste 227, Juneau, AK 99801-8080Phone(907) 209-5009FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense101600Alaska