Individual ProviderJordan ParrickMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address670 NW Gilman Blvd, B2, Issaquah, WA 98027-2444(425) 427-6562(425) 677-5060PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Parrick 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 10:05 AM.Profile DetailsProvider ID1144626722Provider TypeIndividualFull NameParrick, JordanCredentialL.M.PGenderMaleSole ProprietorNoEnumeration Date11/10/2014Last Updated11/10/2014Contact InformationPractice LocationPractice Address670 NW Gilman Blvd, B2, Issaquah, WA 98027-2444Phone(425) 427-6562Fax(425) 391-2760Mailing LocationMailing Address2636 259th Ct SE, B2, Issaquah, WA 98075-7923Phone(425) 677-5060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60424401Washington