Individual ProviderGina Lee WeishaarMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address72 E Sunset Way, Issaquah, WA 98027-3813(425) 313-9222PECOS EnrollmentBased on the most recent information from CMS, provider Gina Lee Weishaar 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 ID1427493923Provider TypeIndividualFull NameWeishaar, Gina LeeCredentialLMTGenderFemaleSole ProprietorNoEnumeration Date5/9/2013Last Updated5/9/2013Contact InformationPractice LocationPractice Address72 E Sunset Way, Issaquah, WA 98027-3813Phone(425) 313-9222Fax(425) 313-9339Mailing LocationMailing Address72 E Sunset Way, Issaquah, WA 98027-3813Phone(425) 313-9222Fax(425) 313-9339Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60177040Washington