Individual ProviderAndrew Donald ThulMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address670 NW Gilman Blvd, B2, Issaquah, WA 98027-2444(425) 427-6565PECOS EnrollmentBased on the most recent information from CMS, provider Andrew Donald Thul 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 yesterday at 10:05 AM.Profile DetailsProvider ID1417216995Provider TypeIndividualFull NameThul, Andrew DonaldCredentialLMPGenderMaleSole ProprietorNoEnumeration Date5/3/2012Last Updated5/3/2012Contact InformationPractice LocationPractice Address670 NW Gilman Blvd, B2, Issaquah, WA 98027-2444Phone(425) 427-6565FaxUnlisted FaxMailing LocationMailing Address670 NW Gilman Blvd, B2, Issaquah, WA 98027-2444Phone(425) 427-6565FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60273225Washington