Individual ProviderCarol EtheringtonMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address670 NW Gilman Blvd, Suite B2, Issaquah, WA 98027-2444(425) 427-6562(425) 200-9432PECOS EnrollmentBased on the most recent information from CMS, provider Carol Etherington 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 2 days ago.Profile DetailsProvider ID1811291123Provider TypeIndividualFull NameEtherington, CarolCredentialL.M.P.GenderFemaleSole ProprietorYesEnumeration Date12/29/2010Last Updated12/29/2010Contact InformationPractice LocationPractice Address670 NW Gilman Blvd, Suite B2, Issaquah, WA 98027-2444Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing AddressPO Box 51, Hobart, WA 98025-0051Phone(425) 200-9432FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 00012171Washington