Provider Demographics
NPI:1609156249
Name:WINEGARDNER, LYNN SUZANNE (OTR CHT)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:SUZANNE
Last Name:WINEGARDNER
Suffix:
Gender:F
Credentials:OTR CHT
Other - Prefix:MS
Other - First Name:SUE
Other - Middle Name:
Other - Last Name:WINEGARDNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR CHT
Mailing Address - Street 1:1500 E 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-3701
Mailing Address - Country:US
Mailing Address - Phone:620-662-7226
Mailing Address - Fax:
Practice Address - Street 1:1500 E 11TH AVE
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-3701
Practice Address - Country:US
Practice Address - Phone:620-662-7226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00224225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand