Individual ProviderRalph W TylerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address700 West Avenue South, Lacrosse, WI 54601(608) 785-0940PECOS EnrollmentBased on the most recent information from CMS, provider Ralph W Tyler 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 ID1629054176Provider TypeIndividualFull NameTyler, Ralph WCredentialPTGenderMaleSole ProprietorNoEnumeration Date12/16/2005Last Updated6/24/2013Contact InformationPractice LocationPractice Address700 West Avenue South, Lacrosse, WI 54601Phone(608) 785-0940FaxUnlisted FaxMailing LocationMailing Address700 West Avenue South, Lacrosse, WI 54601Phone(608) 785-0940FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2396Wisconsin