Individual ProviderZefire M SkoczenMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454(425) 427-6562(206) 225-0303PECOS EnrollmentBased on the most recent information from CMS, provider Zefire M Skoczen 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 2 days ago.Profile DetailsProvider ID1669061024Provider TypeIndividualFull NameSkoczen, Zefire MCredentialLMT, LACGenderFemaleSole ProprietorYesEnumeration Date1/11/2021Last Updated1/11/2021Contact InformationPractice LocationPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address4746 21st Ave SW, Seattle, WA 98106-1305Phone(206) 225-0303FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00013368Washington