Provider Demographics
NPI:1578206181
Name:KANSAS PELVIC HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:KANSAS PELVIC HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BENGTSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:316-706-5495
Mailing Address - Street 1:3710 N RIDGEWOOD ST STE D
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-4421
Mailing Address - Country:US
Mailing Address - Phone:316-706-5495
Mailing Address - Fax:316-462-9993
Practice Address - Street 1:3710 N RIDGEWOOD ST STE D
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-4421
Practice Address - Country:US
Practice Address - Phone:316-881-8177
Practice Address - Fax:316-462-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty