Individual ProviderSue E WilsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address800 West Ave S, La Crosse, WI 54601(608) 785-0940PECOS EnrollmentBased on the most recent information from CMS, provider Sue E Wilson 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 ID1528042322Provider TypeIndividualFull NameWilson, Sue ECredentialPTGenderFemaleSole ProprietorNoEnumeration Date12/5/2005Last Updated8/27/2021Contact InformationPractice LocationPractice Address800 West Ave S, La Crosse, WI 54601Phone(608) 785-0940FaxUnlisted FaxMailing LocationMailing Address200 1st St SW, Rochester, MN 55905-0001Phone(608) 785-0940FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5273Wisconsin