Brooke Taylor Butts

Individual provider Active NPI Personal Care Attendant · Keyser, WV

NPI 1750140695 · NPPES record last updated Mar 14, 2024

Key facts

NPI
1750140695
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
6622 Pinnacle Rd
Keyser, WV 26726-7391
Phone
(304) 788-5467
Fax
(304) 788-6363
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

6622 Pinnacle Rd
Keyser, WV 26726-7391

Mailing address

6622 Pinnacle Rd
Keyser, WV 26726-7391
Phone (304) 788-5467

Other providers in Keyser, WV

All providers in Keyser, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.