Individual ProviderPatricia Anne DolanMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address195 Front St North, Suite G, Issaquah, WA 98027(425) 222-4050PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Anne Dolan 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 ID1235259441Provider TypeIndividualFull NameDolan, Patricia AnneCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date3/30/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address195 Front St North, Suite G, Issaquah, WA 98027Phone(425) 222-4050FaxUnlisted FaxMailing LocationMailing Address33401 SE 124th St, Issaquah, WA 98027Phone(425) 222-4050FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00008666WashingtonProvider IdentifiersIDDescriptionIssuerID3095DescriptionOtherIssuerISS BUSINESS