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 36 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