Individual ProviderSally Ann LonnekerMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address46 Front St N, Issaquah, WA 98027-3236(425) 392-0971(425) 221-8972PECOS EnrollmentBased on the most recent information from CMS, provider Sally Ann Lonneker 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 12:02 PM.Profile DetailsProvider ID1043413743Provider TypeIndividualFull NameLonneker, Sally AnnCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date6/8/2007Last Updated10/8/2008Contact InformationPractice LocationPractice Address46 Front St N, Issaquah, WA 98027-3236Phone(425) 392-0971FaxUnlisted FaxMailing LocationMailing Address830 2nd Ave NW, Issaquah, WA 98027-2430Phone(425) 221-8972FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00021637Washington