Individual ProviderShanna ChaffeeMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address175 1st Pl NW Ste C, Issaquah, WA 98027-2746(425) 526-7500(425) 531-1125PECOS EnrollmentBased on the most recent information from CMS, provider Shanna Chaffee 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 3 days ago.Profile DetailsProvider ID1124550751Provider TypeIndividualFull NameChaffee, ShannaCredentialLMTGenderFemaleSole ProprietorNoEnumeration Date4/2/2017Last Updated4/2/2017Contact InformationPractice LocationPractice Address175 1st Pl NW Ste C, Issaquah, WA 98027-2746Phone(425) 526-7500FaxUnlisted FaxMailing LocationMailing Address473 Hoquiam Ave NE Unit B, Renton, WA 98059-4667Phone(425) 531-1125FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 60381645Washington