Provider Demographics
NPI:1003678210
Name:WHEELER ACUPUNCTURE & FUNCTIONAL WELLNESS
Entity Type:Organization
Organization Name:WHEELER ACUPUNCTURE & FUNCTIONAL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:636-244-0686
Mailing Address - Street 1:3904 S OLD HIGHWAY 94 STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-2850
Mailing Address - Country:US
Mailing Address - Phone:636-244-0686
Mailing Address - Fax:
Practice Address - Street 1:3904 S OLD HIGHWAY 94 STE 200
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-2850
Practice Address - Country:US
Practice Address - Phone:636-244-0686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1932860707OtherNPI
MO1225710916OtherNPI