Individual ProviderMark W OlsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7222 Commerce Center Dr, Suite 100, Colorado Springs, CO 80919-2630(719) 574-5562PECOS EnrollmentBased on the most recent information from CMS, provider Mark W Olson 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 12 days ago.Profile DetailsProvider ID1467630970Provider TypeIndividualFull NameOlson, Mark WCredentialMPTGenderMaleSole ProprietorNoEnumeration Date2/6/2008Last Updated2/6/2008Contact InformationPractice LocationPractice Address7222 Commerce Center Dr, Suite 100, Colorado Springs, CO 80919-2630Phone(719) 574-5562Fax(719) 471-0445Mailing LocationMailing Address7222 Commerce Center Dr, Suite 100, Colorado Springs, CO 80919-2630Phone(719) 574-5562Fax(719) 471-0445Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense7080Colorado