Individual ProviderKathleen StockhausenOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address199 Home Rd, Juneau, WI 53039-1401(920) 386-3539PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Stockhausen 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 ID1649376617Provider TypeIndividualFull NameStockhausen, KathleenGenderFemaleSole ProprietorNoEnumeration Date9/16/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address199 Home Rd, Juneau, WI 53039-1401Phone(920) 386-3539FaxUnlisted FaxMailing LocationMailing AddressS39w33299 County Road D, Dousman, WI 53118-9211PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense3723-26Wisconsin