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 2 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