Individual ProviderLisa Marie KisslerMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address32123 1st Ave S, Federal Way, WA 98003-5721(253) 874-5008(260) 571-5404PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Marie Kissler 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 ID1457865701Provider TypeIndividualFull NameKissler, Lisa MarieGenderFemaleSole ProprietorYesEnumeration Date11/24/2017Last Updated11/24/2017Contact InformationPractice LocationPractice Address32123 1st Ave S, Federal Way, WA 98003-5721Phone(253) 874-5008FaxUnlisted FaxMailing LocationMailing Address3510 S 291st St, Auburn, WA 98001-1402Phone(260) 571-5404FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00008743Washington