Individual ProviderDerrrek MarinMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454(425) 427-6562PECOS EnrollmentBased on the most recent information from CMS, provider Derrrek Marin 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 today at 10:14 AM.Profile DetailsProvider ID1285169516Provider TypeIndividualFull NameMarin, DerrrekGenderMaleSole ProprietorNoEnumeration Date4/24/2017Last Updated4/24/2017Contact InformationPractice LocationPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454Phone(425) 427-6562FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 60723936Washington