Provider Demographics
NPI:1720446552
Name:WHEELER, STEVEN (PHD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:WHEELER
Suffix:
Gender:M
Credentials:PHD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 LEMLEY ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-9188
Mailing Address - Country:US
Mailing Address - Phone:304-293-8725
Mailing Address - Fax:304-293-7105
Practice Address - Street 1:2150 CARTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7734
Practice Address - Country:US
Practice Address - Phone:606-325-1338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR2613225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation