Individual ProviderKristen F BrinksPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1836 South Ave, La Crosse, WI 54601-5429(608) 782-7300(608) 775-8600PECOS EnrollmentBased on the most recent information from CMS, provider Kristen F Brinks 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 ID1619971371Provider TypeIndividualFull NameBrinks, Kristen FCredentialPTGenderFemaleSole ProprietorNoEnumeration Date6/10/2005Last Updated12/9/2010Contact InformationPractice LocationPractice Address1836 South Ave, La Crosse, WI 54601-5429Phone(608) 782-7300FaxUnlisted FaxMailing LocationMailing Address1836 South Ave, La Crosse, WI 54601-5429Phone(608) 775-8600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5721WisconsinProvider IdentifiersIDDescriptionIssuerID40319400DescriptionMedicaidIssuerUnlistedWisconsin