Individual ProviderGeorge J DaviesPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1836 South Ave, La Crosse, WI 54601-5429(608) 782-7300PECOS EnrollmentBased on the most recent information from CMS, provider George J Davies 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 yesterday at 12:57 PM.Profile DetailsProvider ID1053316299Provider TypeIndividualFull NameDavies, George JCredentialPTGenderMaleSole ProprietorNoEnumeration Date6/15/2005Last Updated8/27/2010Contact InformationPractice LocationPractice Address1836 South Ave, La Crosse, WI 54601-5429Phone(608) 782-7300Fax(608) 775-4467Mailing LocationMailing Address1836 South Ave, La Crosse, WI 54601-5429Phone(608) 782-7300Fax(608) 775-4467Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1558WisconsinProvider IdentifiersIDDescriptionIssuerID40034900DescriptionMedicaidIssuerUnlistedWisconsin