Provider Demographics
NPI:1710110242
Name:WHEELER, JOHN RHETT (PT, MPT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:RHETT
Last Name:WHEELER
Suffix:
Gender:M
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 7TH AVE S - INPATIENT PT/OT DEPT. - 4NW
Mailing Address - Street 2:CHILDREN'S HOSPITAL OF AL
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-939-5160
Mailing Address - Fax:205-939-6067
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:INPATIENT PT/OT DEPT. - 4NW
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-939-5160
Practice Address - Fax:205-939-6067
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH34832251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics