Individual ProviderDina Marie PloegmanMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1505 NW Gilman Blvd, Suite 8, Issaquah, WA 98027(425) 313-9222(425) 531-1547PECOS EnrollmentBased on the most recent information from CMS, provider Dina Marie Ploegman 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 4 days ago.Profile DetailsProvider ID1942421474Provider TypeIndividualFull NamePloegman, Dina MarieTitleMs.CredentialLMPGenderFemaleSole ProprietorNoEnumeration Date5/1/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1505 NW Gilman Blvd, Suite 8, Issaquah, WA 98027Phone(425) 313-9222Fax(425) 313-9339Mailing LocationMailing Address14853 SE 113th St, Renton, WA 98059-6007Phone(425) 531-1547FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00022250WashingtonProvider IdentifiersIDDescriptionIssuerID0213837DescriptionOtherIssuerL AND I