Individual provider · Type 1 NPI
Rusty Lee Musick Ii
Peer Specialist · Fairdale, WV
NPI number
1265300032
Active
Practice location
2121 Bolt Rd
Fairdale, WV 25839-9610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 24-948 (WV) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
About NPI 1265300032
Rusty Lee Musick Ii's National Provider Identifier is 1265300032, issued on Oct 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fairdale, WV. The record was last updated on Oct 24, 2025.