Provider Demographics
NPI:1760883243
Name:WINCHESTER, WHITNEY BANKS (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:BANKS
Last Name:WINCHESTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8446 SAINT LOUIS BLVD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-7417
Mailing Address - Country:US
Mailing Address - Phone:606-434-2504
Mailing Address - Fax:
Practice Address - Street 1:7300 WOODSPOINT DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1543
Practice Address - Country:US
Practice Address - Phone:606-434-2504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR4302225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist