Individual ProviderCody ColeMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address710 5th Ave NW Ste 300, Issaquah, WA 98027-2845(425) 998-6542PECOS EnrollmentBased on the most recent information from CMS, provider Cody Cole 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 3 days ago.Profile DetailsProvider ID1346635489Provider TypeIndividualFull NameCole, CodyTitleMr.CredentialLMTGenderMaleSole ProprietorNoEnumeration Date4/6/2015Last Updated10/24/2018Contact InformationPractice LocationPractice Address710 5th Ave NW Ste 300, Issaquah, WA 98027-2845Phone(425) 998-6542Fax(425) 332-7071Mailing LocationMailing Address710 5th Ave NW Ste 300, Issaquah, WA 98027-2845Phone(425) 998-6542Fax(425) 332-7071Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60555501Washington