IndividualActive
Larry Wheeler, C.PED
NPI 1104939156 · Pedorthist · Lexington, KY
Provider details
- NPI number
- 1104939156
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C.PED
- Sex
- Male
- Sole proprietor
- No
- License
- 111233 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
371 Southland Dr
Lexington, KY 40503-1824
Phone: (859) 266-0420
Fax: (859) 266-0667
Approximate (ZIP-level) locationGet directions
Mailing address
371 Southland Dr
Lexington, KY 40503-1824
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2016-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.