Individual ProviderKyle Eugene SchafferPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address622 N Edgemoor St, Wichita, KS 67208-3602(316) 686-5100(316) 755-2561PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Eugene Schaffer 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 ID1275667644Provider TypeIndividualFull NameSchaffer, Kyle EugeneCredentialPTGenderMaleSole ProprietorYesEnumeration Date3/15/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address622 N Edgemoor St, Wichita, KS 67208-3602Phone(316) 686-5100Fax(316) 686-3993Mailing LocationMailing Address922 Parkway Dr, Valley Center, KS 67147-2677Phone(316) 755-2561FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-02373KansasProvider IdentifiersIDDescriptionIssuerID11-02373DescriptionOtherIssuerKANSAS LICENSE NUMBERKansas