Individual ProviderMartha A ClemmensenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1836 South Ave, La Crosse, WI 54601(608) 782-7300PECOS EnrollmentBased on the most recent information from CMS, provider Martha A Clemmensen 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 ID1689821357Provider TypeIndividualFull NameClemmensen, Martha ACredentialPTGenderFemaleSole ProprietorNoEnumeration Date8/25/2008Last Updated5/22/2018Contact InformationPractice LocationPractice Address1836 South Ave, La Crosse, WI 54601Phone(608) 782-7300FaxUnlisted FaxMailing LocationMailing Address1836 South Ave, La Crosse, WI 54601-5429Phone(608) 782-7300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4627-24WisconsinCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5336Minnesota