Provider Demographics
NPI:1023585361
Name:WINKEL, MACEE JACLYN (PTA)
Entity type:Individual
Prefix:
First Name:MACEE
Middle Name:JACLYN
Last Name:WINKEL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:MACEE
Other - Middle Name:JACLYN
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 143
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:KS
Mailing Address - Zip Code:66035-0143
Mailing Address - Country:US
Mailing Address - Phone:785-741-3410
Mailing Address - Fax:
Practice Address - Street 1:700 OREGON ST
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:KS
Practice Address - Zip Code:66434-2232
Practice Address - Country:US
Practice Address - Phone:785-742-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant