Individual ProviderTara RoseMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address680 NW Gilman Blvd., Ste. A, Issaquah, WA 98027(425) 427-6562PECOS EnrollmentBased on the most recent information from CMS, provider Tara Rose 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 2 days ago.Profile DetailsProvider ID1083135446Provider TypeIndividualFull NameRose, TaraCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date7/6/2017Last Updated7/6/2017Contact InformationPractice LocationPractice Address680 NW Gilman Blvd., Ste. A, Issaquah, WA 98027Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer