Individual ProviderSimon B TapiaMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address600 Front St S Apt G204, Issaquah, WA 98027-4244(425) 499-1926PECOS EnrollmentBased on the most recent information from CMS, provider Simon B Tapia 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 ID1609394360Provider TypeIndividualFull NameTapia, Simon BCredentialLMPGenderMaleSole ProprietorYesEnumeration Date9/1/2017Last Updated9/1/2017Contact InformationPractice LocationPractice Address600 Front St S Apt G204, Issaquah, WA 98027-4244Phone(425) 499-1926FaxUnlisted FaxMailing LocationMailing Address600 Front St S Apt G204, Issaquah, WA 98027-4244Phone(425) 499-1926FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense60752470Washington