Individual ProviderRenee Michele CooperMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address670 NW Gilman Blvd, Suite B2, Issaquah, WA 98027-2444(425) 427-6562(425) 432-0845PECOS EnrollmentBased on the most recent information from CMS, provider Renee Michele Cooper 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 ID1457630196Provider TypeIndividualFull NameCooper, Renee MicheleTitleMs.CredentialM.P.GenderFemaleSole ProprietorNoEnumeration Date8/11/2011Last Updated8/11/2011Contact InformationPractice LocationPractice Address670 NW Gilman Blvd, Suite B2, Issaquah, WA 98027-2444Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address25027 SE 200th St, Maple Valley, WA 98038-8800Phone(425) 432-0845FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60232260Washington