Individual ProviderMarcia L JohnsrudPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address225 1st Ave NE, Osseo, MN 55369-1201(763) 424-0534PECOS EnrollmentBased on the most recent information from CMS, provider Marcia L Johnsrud 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 ID1083626196Provider TypeIndividualFull NameJohnsrud, Marcia LCredentialPTGenderFemaleSole ProprietorNoEnumeration Date8/13/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address225 1st Ave NE, Osseo, MN 55369-1201Phone(763) 424-0534FaxUnlisted FaxMailing LocationMailing Address9100 Schutte Ln, Corcoran, MN 55340-2111PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2123Minnesota