Individual ProviderAmanda S StefaninMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address670 NW Gilman Blvd, Suite B2, Issaquah, WA 98027-2444(425) 427-6562(425) 408-2154PECOS EnrollmentBased on the most recent information from CMS, provider Amanda S Stefanin 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 10:05 AM.Profile DetailsProvider ID1760722623Provider TypeIndividualFull NameStefanin, Amanda SCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date2/28/2013Last Updated2/28/2013Contact InformationPractice LocationPractice Address670 NW Gilman Blvd, Suite B2, Issaquah, WA 98027-2444Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address9506 NE 140th St, Kirkland, WA 98034-5130Phone(425) 408-2154FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 60278595Washington