Provider Demographics
NPI:1043775927
Name:WHEELER, SHEREE (DPT)
Entity Type:Individual
Prefix:
First Name:SHEREE
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SHEREE
Other - Middle Name:
Other - Last Name:MEERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-6250
Mailing Address - Fax:630-575-7450
Practice Address - Street 1:2051 W CHANDLER BLVD STE 3
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6239
Practice Address - Country:US
Practice Address - Phone:480-566-8150
Practice Address - Fax:480-566-8151
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-30460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist