Individual ProviderMinka OstbergMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454(425) 427-6562(425) 270-9179PECOS EnrollmentBased on the most recent information from CMS, provider Minka Ostberg 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 4 days ago.Profile DetailsProvider ID1285278994Provider TypeIndividualFull NameOstberg, MinkaGenderFemaleSole ProprietorNoEnumeration Date11/6/2019Last Updated11/6/2019Contact InformationPractice LocationPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address5105 Issaquah Pine Lake Rd SE Apt G103, Issaquah, WA 98029-8262Phone(425) 270-9179FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA61006115Washington