Individual ProviderStephanie Louise RuncieMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address710 5th Ave NW Ste 300, Issaquah, WA 98027-2845(425) 998-6542(425) 786-3422PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Louise Runcie 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 ID1487280814Provider TypeIndividualFull NameRuncie, Stephanie LouiseCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date3/17/2020Last Updated3/17/2020Contact InformationPractice LocationPractice Address710 5th Ave NW Ste 300, Issaquah, WA 98027-2845Phone(425) 998-6542FaxUnlisted FaxMailing LocationMailing Address2220 Neal Rd SE, Fall City, WA 98024-8006Phone(425) 786-3422FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense60796687WashingtonCode225700000XDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer