Individual ProviderMyrah Nina CorralPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address622 N Edgemoor St, Wichita, KS 67208-3602(316) 686-5100(316) 744-7012PECOS EnrollmentBased on the most recent information from CMS, provider Myrah Nina Corral 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 ID1568583094Provider TypeIndividualFull NameCorral, Myrah NinaTitleMrs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date4/2/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address622 N Edgemoor St, Wichita, KS 67208-3602Phone(316) 686-5100FaxUnlisted FaxMailing LocationMailing Address4932 N Highland Ct, Bel Aire, KS 67220-1665Phone(316) 744-7012FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-02306Kansas