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 36 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