Individual ProviderKelli Lynn PepperPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address622 N Edgemoor St, Wichita, KS 67208-3602(316) 686-5100PECOS EnrollmentBased on the most recent information from CMS, provider Kelli Lynn Pepper 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 ID1902157209Provider TypeIndividualFull NamePepper, Kelli LynnTitleMrs.CredentialDPTGenderFemaleSole ProprietorNoEnumeration Date9/26/2012Last Updated9/26/2012Contact InformationPractice LocationPractice Address622 N Edgemoor St, Wichita, KS 67208-3602Phone(316) 686-5100FaxUnlisted FaxMailing LocationMailing Address622 N Edgemoor St, Wichita, KS 67208-3602Phone(316) 686-5100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-04332Kansas