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 36 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