Individual ProviderKirsten L. DettwilerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address700 West Avenue S, La Crosse, WI 54601-4783(608) 392-9768PECOS EnrollmentBased on the most recent information from CMS, provider Kirsten L. Dettwiler 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 ID1922108166Provider TypeIndividualFull NameDettwiler, Kirsten L.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date9/25/2006Last Updated9/14/2011Contact InformationPractice LocationPractice Address700 West Avenue S, La Crosse, WI 54601-4783Phone(608) 392-9768Fax(608) 392-7124Mailing LocationMailing Address700 West Avenue S, La Crosse, WI 54601-4783Phone(608) 392-9768Fax(608) 392-7124Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10009WisconsinCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense03705Iowa