Individual ProviderPatrick Duncan LandrethMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address670 NW Gilman Blvd Ste B2, Issaquah, WA 98027-2444(425) 427-6562PECOS EnrollmentBased on the most recent information from CMS, provider Patrick Duncan Landreth 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 yesterday at 10:58 AM.Profile DetailsProvider ID1720309487Provider TypeIndividualFull NameLandreth, Patrick DuncanGenderMaleSole ProprietorYesEnumeration Date6/17/2010Last Updated6/17/2010Contact InformationPractice LocationPractice Address670 NW Gilman Blvd Ste B2, Issaquah, WA 98027-2444Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address670 NW Gilman Blvd. Suite B2, Issaquah, WA 98027-2444Phone(425) 427-6562FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 60090966Washington