Provider Demographics
NPI:1699574178
Name:WHEELER, MARKEL
Entity type:Individual
Prefix:
First Name:MARKEL
Middle Name:
Last Name:WHEELER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36018 N 33RD LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-2298
Mailing Address - Country:US
Mailing Address - Phone:563-249-2283
Mailing Address - Fax:
Practice Address - Street 1:21432 N 75TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-5967
Practice Address - Country:US
Practice Address - Phone:623-294-7247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist