Individual ProviderPam ConnollyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address535 E Sunset Way, Issaquah, WA 98027-3473(206) 854-7122PECOS EnrollmentBased on the most recent information from CMS, provider Pam Connolly 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 ID1922506765Provider TypeIndividualFull NameConnolly, PamCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date1/26/2018Last Updated1/26/2018Contact InformationPractice LocationPractice Address535 E Sunset Way, Issaquah, WA 98027-3473Phone(206) 854-7122FaxUnlisted FaxMailing LocationMailing Address600 Front St S Apt B303, Issaquah, WA 98027-4257PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00013443Washington