Provider Demographics
NPI:1427805530
Name:WINTERS, RAGAN HARRIS (OTD)
Entity type:Individual
Prefix:DR
First Name:RAGAN
Middle Name:HARRIS
Last Name:WINTERS
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:MISS
Other - First Name:RAGAN
Other - Middle Name:GRACE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:765 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:CALVERT CITY
Mailing Address - State:KY
Mailing Address - Zip Code:42029-7509
Mailing Address - Country:US
Mailing Address - Phone:270-205-7252
Mailing Address - Fax:
Practice Address - Street 1:115 KIANA CT
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-6787
Practice Address - Country:US
Practice Address - Phone:270-534-0027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist