| Doctor Name: | WESLEY KIRK EADES |
| NPI Number: | 1275993065 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | PT003518 |
| Business Practice Address: | 1720 Se 16th Ave Suite 302 Ocala, FL - 344714620 |
| Business Phone Number: | 3525120825 |
| Business Fax Number: | 3525120826 |
| Mailing Address: | 415 36th St, Suite 100 PARKERSBURG |
| State: | WV |
| Postal Code: | 261011005 |
| Phone Number: | 3049173660 |
| Fax Number: | 3049173674 |
| NPI Enumeration Date: | 03/07/2016 |
| NPI Last Update Date: | 05/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT003518 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |