Individual ProviderAnita Lynn BoserMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address545 Rainier Blvd N Ste 6, Issaquah, WA 98027-2806(425) 765-2713PECOS EnrollmentBased on the most recent information from CMS, provider Anita Lynn Boser 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 3 days ago.Profile DetailsProvider ID1811100191Provider TypeIndividualFull NameBoser, Anita LynnTitleMrs.CredentialLMP, CHPGenderFemaleSole ProprietorNoEnumeration Date5/7/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address545 Rainier Blvd N Ste 6, Issaquah, WA 98027-2806Phone(425) 765-2713FaxUnlisted FaxMailing LocationMailing Address27404 SE 154th Pl, Issaquah, WA 98027-7332Phone(425) 765-2713FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA15897WashingtonProvider IdentifiersIDDescriptionIssuerIDMA15897DescriptionOtherIssuerMASSAGE LICENSEWashingtonID0155289DescriptionOtherIssuerLABOR & INDUSTRIESWashington