Individual ProviderMadeline Rae JelacicPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1836 South Ave, La Crosse, WI 54601-5429(608) 775-8194(608) 782-7300PECOS EnrollmentBased on the most recent information from CMS, provider Madeline Rae Jelacic 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 ID1790423390Provider TypeIndividualFull NameJelacic, Madeline RaeCredentialPT, DPTGenderFemaleSole ProprietorYesEnumeration Date5/24/2022Last Updated8/28/2024Contact InformationPractice LocationPractice Address1836 South Ave, La Crosse, WI 54601-5429Phone(608) 775-8194FaxUnlisted FaxMailing LocationMailing Address1836 South Ave Apt 320, La Crosse, WI 54601-5429Phone(608) 782-7300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense16758Wisconsin