Individual ProviderMadison WallsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4515 E Central Ave Ste A, Wichita, KS 67208-3915(316) 260-6869(316) 263-0003PECOS EnrollmentBased on the most recent information from CMS, provider Madison Walls 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 ID1497437032Provider TypeIndividualFull NameWalls, MadisonCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date8/3/2023Last Updated8/3/2023Contact InformationPractice LocationPractice Address4515 E Central Ave Ste A, Wichita, KS 67208-3915Phone(316) 260-6869FaxUnlisted FaxMailing LocationMailing Address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005Phone(316) 263-0003FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-07341Kansas