Individual ProviderKim Oliver WojewodaMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address670 NW Gilman Blvd Ste B2, Issaquah, WA 98027-2444(425) 427-6562(425) 996-3095PECOS EnrollmentBased on the most recent information from CMS, provider Kim Oliver Wojewoda 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 ID1063749497Provider TypeIndividualFull NameWojewoda, Kim OliverTitleMrs.CredentialLMPGenderFemaleSole ProprietorYesEnumeration Date11/5/2009Last Updated11/5/2009Contact InformationPractice LocationPractice Address670 NW Gilman Blvd Ste B2, Issaquah, WA 98027-2444Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address2095 NE Nelson Ln, Issaquah, WA 98029-3670Phone(425) 996-3095FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00020152Washington