Timothy Rutter
Individual provider Active NPI Personal Care Attendant · Raysal, WV
NPI 1831773571 · NPPES record last updated May 10, 2021
Key facts
- NPI
- 1831773571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1632 Raysal Hollow Rd
Raysal, WV 24879 - Phone
- (304) 938-6114
- NPI assigned
- May 10, 2021
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1632 Raysal Hollow Rd
Raysal, WV 24879
Mailing address
PO Box 128
Raysal, WV 24879-0128
Phone (304) 938-6114
Other providers in Raysal, WV
- Michael Ervin Edward Johnson
- Sherry Matney
- Ruby Mullins
- Jessica Roberson
- Ashley Rowe
- Bobbi Lee Stanley
- Amanda Vance
All providers in Raysal, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.