Individual ProviderVictoria DanceMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address641 West Willoughby Ave, Suite 201, Juneau, AK 99801(907) 586-8100PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Dance 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 ID1881837961Provider TypeIndividualFull NameDance, VictoriaTitleMs.CredentialMA, LMTGenderFemaleSole ProprietorNoEnumeration Date4/20/2009Last Updated1/23/2014Contact InformationPractice LocationPractice Address641 West Willoughby Ave, Suite 201, Juneau, AK 99801Phone(907) 586-8100Fax(907) 586-8102Mailing LocationMailing Address641 W Willoughby Ave Ste 201, Juneau, AK 99801-1748Phone(907) 586-8100Fax(907) 586-8102Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense#MT-07557Arizona