Provider Demographics
NPI:1396472403
Name:WINKELS, RAESSA (MS, LCAT-P)
Entity type:Individual
Prefix:
First Name:RAESSA
Middle Name:
Last Name:WINKELS
Suffix:
Gender:F
Credentials:MS, LCAT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 JORPARK CIR
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-2606
Mailing Address - Country:US
Mailing Address - Phone:320-766-8009
Mailing Address - Fax:
Practice Address - Street 1:98 NORTH AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-3193
Practice Address - Country:US
Practice Address - Phone:585-210-0150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist