Individual ProviderMatthew D HaberlPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address700 West Ave S, La Crosse, WI 54601-4783(715) 838-3635PECOS EnrollmentBased on the most recent information from CMS, provider Matthew D Haberl 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 ID1366693285Provider TypeIndividualFull NameHaberl, Matthew DCredentialPTGenderMaleSole ProprietorNoEnumeration Date10/9/2008Last Updated7/21/2022Contact InformationPractice LocationPractice Address700 West Ave S, La Crosse, WI 54601-4783Phone(715) 838-3635FaxUnlisted FaxMailing LocationMailing AddressPO Box 1510, Eau Claire, WI 54702-1510Phone(715) 838-3635FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11051-24WisconsinProvider IdentifiersIDDescriptionIssuerID11051-24DescriptionOtherIssuerWISCONSIN STATE LICENSE PTWisconsinID773-039DescriptionOtherIssuerWISCONSIN LICENSE ATHLETIC TRAINERWisconsin