Individual ProviderKerry S BrownMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454(425) 427-6592(206) 920-9903PECOS EnrollmentBased on the most recent information from CMS, provider Kerry S Brown 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 35 days ago.Profile DetailsProvider ID1174063564Provider TypeIndividualFull NameBrown, Kerry SGenderFemaleSole ProprietorNoEnumeration Date3/3/2017Last Updated3/3/2017Contact InformationPractice LocationPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454Phone(425) 427-6592FaxUnlisted FaxMailing LocationMailing Address11505 Eastridge Dr NE Apt 429, Redmond, WA 98053-5758Phone(206) 920-9903FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 0015718Washington