Individual ProviderTracy LeithauserMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address418 Harris St, #313, Juneau, AK 99801-1083(907) 830-0609PECOS EnrollmentBased on the most recent information from CMS, provider Tracy Leithauser 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 ID1851760664Provider TypeIndividualFull NameLeithauser, TracyCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date9/22/2015Last Updated11/19/2015Contact InformationPractice LocationPractice Address418 Harris St, #313, Juneau, AK 99801-1083Phone(907) 830-0609FaxUnlisted FaxMailing LocationMailing Address704 W 11th St, Juneau, AK 99801-1518Phone(907) 830-0609FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense101370Alaska