Individual ProviderKerry Ardleigh McculloughPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9350 Campus Point Dr, La Jolla, CA 92037(858) 657-6879PECOS EnrollmentBased on the most recent information from CMS, provider Kerry Ardleigh Mccullough 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 ID1780756262Provider TypeIndividualFull NameMccullough, Kerry ArdleighTitleDr.CredentialDPTGenderFemaleSole ProprietorNoEnumeration Date11/14/2006Last Updated10/10/2018Contact InformationPractice LocationPractice Address9350 Campus Point Dr, La Jolla, CA 92037Phone(858) 657-6879Fax(858) 657-6873Mailing LocationMailing AddressPO Box 232410, San Diego, CA 92193-2410PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense34541California