Individual ProviderMaria Madeline GreenbaumMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address450 NW Gilman Blvd, Suite 201, Issaquah, WA 98027-2483(425) 835-2503PECOS EnrollmentBased on the most recent information from CMS, provider Maria Madeline Greenbaum 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 4 days ago.Profile DetailsProvider ID1043519036Provider TypeIndividualFull NameGreenbaum, Maria MadelineCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date3/16/2011Last Updated4/24/2017Contact InformationPractice LocationPractice Address450 NW Gilman Blvd, Suite 201, Issaquah, WA 98027-2483Phone(425) 835-2503FaxUnlisted FaxMailing LocationMailing AddressPO Box 3057, Issaquah, WA 98027-0137Phone(425) 835-2503FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense588149-10Washington