Individual ProviderKelly L HolmesPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address700 West Ave S, La Crosse, WI 54601-4783(608) 785-0940PECOS EnrollmentBased on the most recent information from CMS, provider Kelly L Holmes 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 ID1487967436Provider TypeIndividualFull NameHolmes, Kelly LCredentialPTGenderFemaleSole ProprietorNoEnumeration Date7/20/2010Last Updated7/20/2010Contact InformationPractice LocationPractice Address700 West Ave S, La Crosse, WI 54601-4783Phone(608) 785-0940Fax(608) 392-9898Mailing LocationMailing Address700 West Ave S, La Crosse, WI 54601-4783Phone(608) 785-0940Fax(608) 392-9898Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense6517Wisconsin