Individual ProviderStephanie A HendricksonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1836 South Ave, La Crosse, WI 54601(608) 782-7300PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie A Hendrickson 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 ID1134578503Provider TypeIndividualFull NameHendrickson, Stephanie ACredentialPTGenderFemaleSole ProprietorNoEnumeration Date6/7/2016Last Updated10/5/2018Contact InformationPractice LocationPractice Address1836 South Ave, La Crosse, WI 54601Phone(608) 782-7300FaxUnlisted FaxMailing LocationMailing Address1836 South Ave, La Crosse, WI 54601-5429Phone(608) 782-7300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13364-24Wisconsin