Individual ProviderConnie Marie HooperMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address435 E. Sunset Way, Issaquah, WA 98027(425) 392-4792PECOS EnrollmentBased on the most recent information from CMS, provider Connie Marie Hooper 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 ID1417289224Provider TypeIndividualFull NameHooper, Connie MarieCredentialLMPGenderFemaleSole ProprietorNoEnumeration Date2/3/2010Last Updated7/2/2010Contact InformationPractice LocationPractice Address435 E. Sunset Way, Issaquah, WA 98027Phone(425) 392-4792Fax(425) 837-0311Mailing LocationMailing Address435 E. Sunset Way, Issaquah, WA 98027Phone(425) 392-4792Fax(425) 837-0311Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60109442Washington