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 36 days ago.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