Individual ProviderKelli BowdenMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1175 NW Gilman Blvd Ste B5, Issaquah, WA 98027-5375(425) 313-8950PECOS EnrollmentBased on the most recent information from CMS, provider Kelli Bowden 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 ID1851809602Provider TypeIndividualFull NameBowden, KelliGenderFemaleSole ProprietorNoEnumeration Date1/15/2018Last Updated1/15/2018Contact InformationPractice LocationPractice Address1175 NW Gilman Blvd Ste B5, Issaquah, WA 98027-5375Phone(425) 313-8950Fax(425) 313-9491Mailing LocationMailing Address1175 NW Gilman Blvd Ste B5, Issaquah, WA 98027-5375Phone(425) 313-8950Fax(425) 313-9491Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense60057862Washington