Individual ProviderAnita Marie BagleyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address660 NW Gilman Blvd Ste C4, Issaquah, WA 98027-2421(425) 391-2380PECOS EnrollmentBased on the most recent information from CMS, provider Anita Marie Bagley 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 ID1376686923Provider TypeIndividualFull NameBagley, Anita MarieTitleMrs.CredentialLMTGenderFemaleSole ProprietorYesEnumeration Date2/14/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address660 NW Gilman Blvd Ste C4, Issaquah, WA 98027-2421Phone(425) 391-2380FaxUnlisted FaxMailing LocationMailing Address660 NW Gilman Blvd Ste C4, Issaquah, WA 98027-2421Phone(425) 391-2380FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00019222Washington