Individual ProviderDennis Carroll Wilkins FaterPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1927 Mississippi St, La Crosse, WI 54601-5076(608) 782-5954PECOS EnrollmentBased on the most recent information from CMS, provider Dennis Carroll Wilkins Fater 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 ID1083930341Provider TypeIndividualFull NameFater, Dennis Carroll WilkinsTitleDr.CredentialPHD, PT, CERT MDTGenderMaleSole ProprietorYesEnumeration Date4/12/2010Last Updated4/12/2010Contact InformationPractice LocationPractice Address1927 Mississippi St, La Crosse, WI 54601-5076Phone(608) 782-5954FaxUnlisted FaxMailing LocationMailing Address1927 Mississippi St, La Crosse, WI 54601-5076Phone(608) 782-5954FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4189-024Wisconsin