Individual ProviderBrad SeversonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1836 South Avenue, La Crosse, WI 54601(608) 782-7300PECOS EnrollmentBased on the most recent information from CMS, provider Brad Severson 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 ID1720772072Provider TypeIndividualFull NameSeverson, BradTitleMr.CredentialPTAGenderMaleSole ProprietorNoEnumeration Date6/7/2023Last Updated6/7/2023Contact InformationPractice LocationPractice Address1836 South Avenue, La Crosse, WI 54601Phone(608) 782-7300FaxUnlisted FaxMailing LocationMailing Address1836 South Avenue, La Crosse, WI 54601Phone(608) 782-7300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12256Wisconsin