Individual ProviderColleen S. WalzPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1836 South Ave, La Crosse, WI 54601-5429(608) 782-7300PECOS EnrollmentBased on the most recent information from CMS, provider Colleen S. Walz 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 ID1609045301Provider TypeIndividualFull NameWalz, Colleen S.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date2/27/2008Last Updated2/27/2008Contact InformationPractice LocationPractice Address1836 South Ave, La Crosse, WI 54601-5429Phone(608) 782-7300Fax(608) 775-4429Mailing LocationMailing Address1836 South Ave, La Crosse, WI 54601-5429PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4256-024Wisconsin