Individual ProviderRebecca WieteckiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address305 Langdon St, Somerset, KY 42503-2750(606) 679-7441PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Wietecki 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 5 days ago.Profile DetailsProvider ID1346923786Provider TypeIndividualFull NameWietecki, RebeccaGenderFemaleSole ProprietorYesEnumeration Date8/11/2023Last Updated8/11/2023Contact InformationPractice LocationPractice Address305 Langdon St, Somerset, KY 42503-2750Phone(606) 679-7441FaxUnlisted FaxMailing LocationMailing Address4230 Lancelot Rd, Toledo, OH 43623-2520PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT019106Ohio