Individual ProviderMegan L WiedenmannPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5002 E Central Ave Ste B, Wichita, KS 67208-4167(913) 439-7279PECOS EnrollmentBased on the most recent information from CMS, provider Megan L Wiedenmann 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 ID1255838504Provider TypeIndividualFull NameWiedenmann, Megan LCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date4/11/2018Last Updated4/11/2018Contact InformationPractice LocationPractice Address5002 E Central Ave Ste B, Wichita, KS 67208-4167Phone(913) 439-7279FaxUnlisted FaxMailing LocationMailing Address15915 E Boxthorn St, Wichita, KS 67228-8118Phone(913) 439-7279FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-03832Kansas