Individual ProviderSuzyn KasalaMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1595 NW Gilman Blvd Ste 15, Issaquah, WA 98027-5329(425) 681-5900PECOS EnrollmentBased on the most recent information from CMS, provider Suzyn Kasala 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 ID1508117912Provider TypeIndividualFull NameKasala, SuzynCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date9/25/2012Last Updated9/25/2012Contact InformationPractice LocationPractice Address1595 NW Gilman Blvd Ste 15, Issaquah, WA 98027-5329Phone(425) 681-5900FaxUnlisted FaxMailing LocationMailing AddressPO Box 221, Issaquah, WA 98027-0010Phone(425) 681-5900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60303828Washington