Individual ProviderAmy Lynn HansenMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address670 NW Gilman Blvd, Suite# B2, Issaquah, WA 98027-2444(425) 427-6562(425) 463-7686PECOS EnrollmentBased on the most recent information from CMS, provider Amy Lynn Hansen 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 ID1568791358Provider TypeIndividualFull NameHansen, Amy LynnGenderFemaleSole ProprietorNoEnumeration Date12/8/2009Last Updated12/8/2009Contact InformationPractice LocationPractice Address670 NW Gilman Blvd, Suite# B2, Issaquah, WA 98027-2444Phone(425) 427-6562Fax(425) 391-2760Mailing LocationMailing Address800 NE 10th St, North Bend, WA 98045-9441Phone(425) 463-7686FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 60102543Washington