Individual ProviderCarol Ann KakoczkyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address545 Rainier Blvd N, Suite 9, Issaquah, WA 98027-2806(425) 802-2826PECOS EnrollmentBased on the most recent information from CMS, provider Carol Ann Kakoczky 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 ID1821253923Provider TypeIndividualFull NameKakoczky, Carol AnnTitleMrs.CredentialLMPGenderFemaleSole ProprietorYesEnumeration Date7/28/2008Last Updated2/23/2012Contact InformationPractice LocationPractice Address545 Rainier Blvd N, Suite 9, Issaquah, WA 98027-2806Phone(425) 802-2826Fax(425) 837-0693Mailing LocationMailing Address545 Rainier Blvd N, Suite 9, Issaquah, WA 98027-2806Phone(425) 802-2826Fax(425) 837-0693Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA 00009890Washington