Individual ProviderBryce Daniel JensonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address700 West Ave S, La Crosse, WI 54601-4783(608) 785-0940PECOS EnrollmentBased on the most recent information from CMS, provider Bryce Daniel Jenson 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 ID1932776218Provider TypeIndividualFull NameJenson, Bryce DanielCredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date6/7/2021Last Updated9/13/2021Contact InformationPractice LocationPractice Address700 West Ave S, La Crosse, WI 54601-4783Phone(608) 785-0940FaxUnlisted FaxMailing LocationMailing Address200 1st St SW, Rochester, MN 55905-0002Phone(608) 785-0940FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense15483Wisconsin