Individual ProviderKrystal KaaldMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1595 NW Gilman Blvd Ste 15, Issaquah, WA 98027-5329(425) 392-4387(206) 948-4866PECOS EnrollmentBased on the most recent information from CMS, provider Krystal Kaald 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 ID1528274933Provider TypeIndividualFull NameKaald, KrystalTitleMs.CredentialL.M.P.GenderFemaleSole ProprietorYesEnumeration Date5/15/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1595 NW Gilman Blvd Ste 15, Issaquah, WA 98027-5329Phone(425) 392-4387FaxUnlisted FaxMailing LocationMailing Address16716 SE 44th St, Issaquah, WA 98027-9017Phone(206) 948-4866FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDMA00017327DescriptionOtherIssuerMASSAGE LICENSE NUMBERWashington