Individual ProviderEvelyn Therese BassMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address174 S Franklin St Ste 211, Juneau, AK 99801-1362(907) 957-6459PECOS EnrollmentBased on the most recent information from CMS, provider Evelyn Therese Bass 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 ID1851760813Provider TypeIndividualFull NameBass, Evelyn ThereseTitleMs.CredentialLMT, M.EDGenderFemaleSole ProprietorYesEnumeration Date9/21/2015Last Updated5/24/2022Contact InformationPractice LocationPractice Address174 S Franklin St Ste 211, Juneau, AK 99801-1362Phone(907) 957-6459FaxUnlisted FaxMailing LocationMailing Address2967 Nowell Ave, Juneau, AK 99801-1952Phone(907) 957-6459FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense101363AlaskaCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerAlaskaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1912475260DescriptionOtherIssuerEMPLOYER/SUPERVISOR'S NPI