Individual ProviderJovonne R TaylorMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address670 NW Gilman Blvd, Suite B-2, Issaquah, WA 98027-2444(425) 427-6562PECOS EnrollmentBased on the most recent information from CMS, provider Jovonne R Taylor 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 ID1952541021Provider TypeIndividualFull NameTaylor, Jovonne RGenderFemaleSole ProprietorYesEnumeration Date3/2/2009Last Updated3/2/2009Contact InformationPractice LocationPractice Address670 NW Gilman Blvd, Suite B-2, Issaquah, WA 98027-2444Phone(425) 427-6562FaxUnlisted FaxMailing LocationMailing Address3452 36th Ave SW, Seattle, WA 98126PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00024925Washington